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 client's preferred time for bathing
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 Correct Answer is B
A. The client's preferred time for bathing: While this information may be relevant to the client's care, it is not typically included in a change-of-shift report unless it directly impacts the client's medical condition or care plan.
B. The time the client received his last dose of pain medication: This information is crucial for ensuring continuity of care and managing the client's pain appropriately during the transfer to the rehabilitation facility.
C. The belief that the client has a difficult relationship with his son: While psychosocial factors can impact a client's care, this information may not be relevant to the client's immediate medical needs or the transition to the rehabilitation facility.
D. The steps to follow when providing wound care: While wound care instructions are important, they are typically documented in the client's medical record and may not need to be included in a change-of-shift report unless there are specific wound care concerns that need to be addressed during the transfer.
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Related Questions
Correct Answer is A
Explanation
A. Changing peripheral IV primary tubing every 96 hours is a standard practice that helps prevent infection and maintain the integrity of the IV system while also being cost-effective by reducing unnecessary changes.
B. While replacing peripheral IV solution bags every 96 hours might seem like a cost-saving measure, it may not align with best practices, as solution bags should be changed based on the facility's policy and the condition of the solution.
C. Total parenteral nutrition (TPN) solution bags typically need to be replaced more frequently than every 48 hours to prevent bacterial growth and ensure the integrity of the solution.
D. Changing total parenteral nutrition (TPN) IV tubing every 48 hours may be necessary to prevent contamination and maintain the sterility of the infusion, which can contribute to better patient outcomes despite potentially higher costs.
Correct Answer is A
Explanation
A. Verify the spelling of the medication with the provider: This is important to ensure accuracy in transcription and to prevent medication errors. Verifying the spelling of the medication with the provider helps confirm the correct medication is being prescribed.
B. Transcribe prescriptions received via a voicemail recording: Transcribing prescriptions from voicemail recordings may introduce errors and is not a recommended practice due to potential misinterpretation or misunderstanding of the information.
C. Use standard abbreviations when obtaining a telephone prescription: While using standard abbreviations is generally encouraged in healthcare documentation, it's essential to prioritize clarity and accuracy when transcribing prescriptions, especially over the phone.
D. Request that the provider call prescriptions in to the pharmacy: While this may be a part of the process, it does not address the essential step of verifying the medication details with the provider to ensure accuracy.
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