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

Answer and Explanation

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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Correct Answer is D

Explanation

a. This statement reflects the client's concerns about financial aspects related to therapy and does not specifically indicate a need for occupational therapy.
b. This statement indicates the client's hope and willingness to adapt to using crutches, which may involve physical therapy but does not necessarily require occupational therapy.
c. This statement suggests body image concerns and emotional distress, which may require psychological support but does not directly indicate a need for occupational therapy.
d. This statement highlights the client's practical concerns about performing activities of daily living, such as childcare, which can be addressed by an occupational therapist who can assess the client's functional abilities and provide strategies for adapting to their new physical condition.

A. Review the chart for nonrestraint alternatives for agitation B. Inform the unit manager C. Speak with the AP about the incident D. Remove the restraints from the client’s wrist

Correct Answer is D

Explanation

a. While reviewing the chart for nonrestraint alternatives is important, the immediate priority is to ensure the client's safety by removing the restraints that were inappropriately applied.
b. Informing the unit manager can be done after taking immediate action to address the situation and ensure the client's safety.
c. Speaking with the AP about the incident can be done after addressing the immediate need to remove the restraints from the client's wrist.
d. Removing the restraints from the client’s wrist is the first action the nurse should take to prevent any potential harm or injury to the client due to the inappropriate use of restraints.

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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?

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