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.
His partner has been visiting.
He is voiding adequately.
He is allergic to sulfa.
The Correct Answer is D
Choice A rationale
He appears anxious about the transfer provides subjective information about the client's emotional state. While important, it's not essential for the transfer report which typically focuses on objective, actionable data.
Choice B rationale
His partner has been visiting is valuable for understanding the client's support system, but it does not directly affect the client's clinical care during transfer.
Choice C rationale
He is voiding adequately offers relevant information about the client's bodily function, important for ongoing care but not as critical as allergy information.
Choice D rationale
He is allergic to sulfa provides essential medical information that can affect the client's treatment plan. Knowing allergies is crucial to prevent adverse reactions to medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Keeping the client's room well lit is not typically beneficial for pain management and may even be counterproductive for clients who need rest or reduced sensory stimuli to manage pain effectively.
Choice B rationale
Encouraging the client to abstain from distracting activities is not recommended. Distraction techniques, such as engaging in activities, can be effective in reducing the client's perception of pain.
Choice C rationale
Ensuring that the client's room is kept at a cool temperature may not be effective for pain relief and might cause discomfort, especially if the client prefers warmth.
Choice D rationale
Playing music in the client's room can serve as a distraction and has been shown to reduce the perception of pain. Music therapy can induce relaxation, reduce anxiety, and create a calming environment.
Correct Answer is B
Explanation
Choice A rationale
Administering vaginal cream is a medication administration task requiring knowledge and skills within the licensed nurse's scope of practice. Assistive personnel (AP) are not authorized to perform this procedure due to the potential for complications and the need for clinical judgment.
Choice B rationale
Providing postmortem care is a task that AP can perform as it involves basic care activities, such as bathing and positioning, which do not require specialized nursing skills. This allows the nurse to focus on more complex patient needs.
Choice C rationale
Suctioning a tracheostomy is a procedure that requires clinical assessment and intervention skills. Due to the potential for complications, it is within the licensed nurse's scope of practice, not the AP's.
Choice D rationale
Changing a peripheral IV dressing involves assessment skills and requires sterile technique to prevent infection. This task is beyond the scope of practice for AP and should be performed by a licensed nurse.
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