A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?
"He appears anxious about the transfer."
"He is allergic to sulfa."
"His partner has been visiting."
"He is voiding adequately."
The Correct Answer is B
Choice A Reason:
"He appears anxious about the transfer."While this might be relevant in certain contexts, it is subjective and less critical compared to other clinical information. The transfer report should prioritize objective data that directly impacts the client’s care.
Choice B Reason:
"He is allergic to sulfa." Allergies are crucial information that must be communicated during any transfer. This ensures that the receiving healthcare team is aware and can avoid administering medications that could cause an allergic reaction. This is important information to include in the transfer report.
Choice C Reason:
"His partner has been visiting." While it may be helpful to know about the client’s support system, this information is not as critical as details about the client's health status, medications, or allergies.
Choice D Reason:
"He is voiding adequately." Voiding patterns can be relevant, particularly if there have been recent issues with urinary function or if the client is being monitored for urinary output. However, unless there is a specific reason this is critical to ongoing care, it may not be the most essential information to include.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"The sides of the sling are for the client to hold on to." Is inaccurate. The sides of the sling in a mechanical lift are typically designed for the lift's attachment points, not for the client to hold on to. Clients usually need to remain relaxed and may not be able to hold on during the transfer.
Choice B Reason:
"The lower end of the sling goes below the client's calves." Is inaccurate. While it's important to position the sling correctly, stating that the lower end goes below the client's calves might not be universally accurate. The placement of the sling would depend on the type of lift and the specific needs of the client. It's crucial to follow manufacturer instructions and individualized care plans for sling placement.
Choice C Reason:
"This type of device is used for a client who cannot assist." Is accurate. This statement correctly identifies the primary purpose of a mechanical lift, which is to assist individuals who are unable to bear weight or assist with movement due to physical limitations. The mechanical lift helps transfer individuals safely without relying on their own strength or ability to assist in the movement.
Choice D Reason:
"The device requires the client to use upper body strength." Is inaccurate. This statement is incorrect. The purpose of a mechanical lift is to assist clients who cannot use their own strength, especially those who cannot bear weight or assist with movement. It is the machine that aids in lifting and transferring the individual, not the client's strength.
Correct Answer is D
Explanation
Choice A Reason:
Urinating after the specimen collection is incorrect. While it's important to ensure urine doesn't contaminate the stool specimen during collection, the instruction to urinate after the collection doesn't directly impact the collection process itself. The primary focus is on avoiding contamination of the stool sample with urine or toilet tissue during collection.
Choice B Reason:
Placing 1.3 cm (0.5 in) of formed stool into a culture tube is incorrect. The amount of stool needed for a specimen can vary based on the specific test requirements or laboratory instructions. A fixed measurement, like 1.3 cm of formed stool, might not accurately represent the necessary quantity for all types of stool tests. Specific instructions from the healthcare provider or laboratory should be followed for proper collection.
Choice C Reason:
Keeping the specimen in a warm area is incorrect. Stool specimens are typically collected and stored at room temperature unless otherwise specified by specific test instructions. Placing the specimen in a warm area could alter the characteristics of the sample or promote bacterial growth, potentially affecting test accuracy. The specimen should be handled according to the specific requirements outlined for the particular test.
Choice D Reason:
Avoid placing toilet tissue in the bedpan after defecation is correct. Placing toilet tissue in the bedpan after defecation can contaminate the stool specimen, affecting the accuracy of test results. It's important to collect the stool sample without any contamination from toilet tissue or urine.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
