A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
The time the client received his last dose of pain medication
The belief that the client has a difficult relationship with his son
The steps to follow when providing wound care
The client's preferred time for bathing
The Correct Answer is C
A. This is important for continuity of care but is more relevant to immediate pain management on the surgical unit, not for transfer to rehabilitation. The rehab team will establish their own pain management schedule.
B. This is subjective and not appropriate for a professional handoff. Reports should focus on objective, clinical, and relevant information.
C. This is essential for safe, consistent care. Rehabilitation staff need clear instructions on wound management to prevent infection and promote healing.
D. While patient preferences are valuable, they are not critical for a change-of-shift or transfer report. Preferences can be discussed later during routine care.
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Related Questions
Correct Answer is D
Explanation
a. While night sweats and fever may indicate an underlying infection or illness, they do not typically require immediate emergency intervention compared to the other options.
b. Compound fractures of the tibia and humerus are serious injuries that require prompt medical attention, but they are not immediately life-threatening compared to the other options.
c. Severe vomiting and diarrhea can lead to dehydration and electrolyte imbalances, which require medical treatment, but they are not as urgent as the potential respiratory compromise or airway injury in the client with soot markings from a house fire.
d. Soot markings around each naris following a house fire suggest inhalation injury and potential airway compromise, making this client the priority for immediate assessment and intervention in the emergency department.
Correct Answer is D
Explanation
a. While contacting the provider may be appropriate for clarification, the health care surrogate has the authority to make medical decisions on behalf of the unconscious client.
b. Involving the facility's ethics committee may be considered if there is disagreement among family members, but ultimately, the decision rests with the health care surrogate.
c. Reviewing advance directives may provide guidance, but the health care surrogate's decision takes precedence in this situation.
d. The health care surrogate has the legal authority to make medical decisions for the client when they are unable to do so themselves.
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