A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.
To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

Choice A rationale

The client wearing a mask during transport helps minimize the risk of transmitting infectious droplets to others. It is the most effective precaution to uphold droplet isolation protocols and ensure safe transport in healthcare settings.

Choice B rationale

The nurse wearing a mask is standard PPE practice, but it does not address the primary goal of preventing the client from spreading infectious droplets during transportation. The client must be the primary focus of this preventive measure.

Choice C rationale

Wearing a gown is unnecessary for droplet precautions during transport. Droplet isolation measures primarily target respiratory secretions, and gowns are not effective for minimizing respiratory droplet dissemination.

Choice D rationale

Similar to Choice C, the nurse wearing a gown is not a droplet precaution strategy related to transportation. The focus remains on respiratory measures, specifically masking the client.

Choice A rationale

Current medication prescriptions are essential for ensuring continuity of care. Accurate documentation prevents medication errors and allows the receiving unit to administer the right medications at the correct times and dosages. It ensures the client’s therapeutic regimen continues uninterrupted and facilitates the management of conditions during the transfer process.

Choice B rationale

The primary health problem outlines the central issue requiring intensive care. This information is vital for prioritizing interventions and forming a focused care plan. It ensures the receiving team understands the client’s critical health needs and can provide the appropriate monitoring and treatment promptly.

Choice C rationale

Scheduled times for dressing changes are not typically included in transfer documentation because they represent non-urgent routine tasks. Prioritization is given to critical information like the client’s current condition and medical orders to ensure safety during the transition to the intensive care unit.

Choice D rationale

The number of family members who have visited is irrelevant to the clinical transfer process. Documentation should focus solely on medical and therapeutic information critical to the client’s ongoing care and safety, ensuring efficient communication between healthcare providers.

Choice E rationale

Admission vital signs from a week ago do not reflect the client’s current condition and are not useful for guiding care. Transfer documentation should include recent and relevant clinical data to assist the receiving team in assessing and managing the client’s immediate needs.