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. Notify risk management before initiating treatment: While risk management may need to be involved in certain situations, the priority in this case is to address the client's immediate medical needs.
B. Contact the client's next of kin to obtain consent for treatment: In emergency situations where the client is unable to provide consent and there is no surrogate decision-maker available,
healthcare providers are generally authorized to proceed with necessary treatment to stabilize the patient.
C. Proceed with treatment without obtaining written consent: This is the correct answer. In emergencies where immediate treatment is required to prevent further harm or stabilize the patient's condition, obtaining written consent may not be feasible or appropriate.
D. Have the client sign a consent for treatment: If the client is disoriented and has a cardiac arrhythmia, they may not be capable of providing informed consent at that moment. Therefore, waiting for them to sign a consent form could delay necessary treatment.

A. The client needs to have someone come in to help her bathe at home. B. The client needs to have someone bring oxygen tanks and equipment to her home. C. The client needs to have range-of-motion exercises to assist with ambulation. D. The client needs to arrange financial resources to purchase equipment.

Correct Answer is D

Explanation

A. The client needs to have someone come in to help her bathe at home: While assistance with activities of daily living may be necessary, it does not specifically warrant a referral to a social worker.
B. The client needs to have someone bring oxygen tanks and equipment to her home: This indicates a need for home oxygen therapy but does not directly involve social work services.

C. The client needs to have range-of-motion exercises to assist with ambulation: Rehabilitation needs can be addressed by physical or occupational therapy, not necessarily by a social worker.
D. The client needs to arrange financial resources to purchase equipment: This assessment data suggests potential financial concerns related to purchasing equipment, which may require assistance from a social worker in accessing resources or financial assistance programs.

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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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Naxlex Comprehensive Predictor Exams

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