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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

A. Review facility policies for taking scheduled breaks. B. Discuss time management strategies with the nurses. C. Determine the reasons the nurses are not taking scheduled breaks. D. Provide coverage for the nurses' breaks.

Correct Answer is C

Explanation

A. Review facility policies for taking scheduled breaks: While understanding facility policies is important, it may not directly address the reasons why the nurses are not taking their scheduled breaks. This step can be taken after understanding the underlying issues.

B. Discuss time management strategies with the nurses: While time management strategies may be helpful, it's essential to first understand why the nurses are not taking their breaks before discussing potential solutions.
C. Determine the reasons the nurses are not taking scheduled breaks: This is the correct answer.

Understanding the reasons behind the nurses' behavior is crucial for addressing the issue effectively. It could be due to workload, staffing issues, personal preferences, or other factors.
D. Provide coverage for the nurses' breaks: While providing coverage may be necessary in the short term, it does not address the underlying reasons why the nurses are not taking their breaks and may not be a sustainable solution. Understanding the root cause is essential for
implementing appropriate interventions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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