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 belief that the client has a difficult relationship with his son

The time the client received his last dose of pain medication

The steps to follow when providing wound care

Answer and Explanation

The Correct Answer is C

Information on the last dos of analgesics is key in ensuring optimal pain control while avoiding any incidence of drug overdose.

D. Information on steps of wound care is important but not relevant as the nurses on the facility are expected to be well versed with the steps as part of their scope of practice.

A and B is not relevant information during change of shift.

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Correct Answer is B

Explanation

Signs of wound healing include epithelialization, formation of granulation tissue and minimal wound drainage. A deep red color at the center is a sign of granulation

A. Erythema on the surrounding skin is a sign of infection

C. Increased exudate is a sign of infection

D. Inflammation of the wound edges is also a sign of infection

A. Decreased level of consciousness B. Report of photophobia C. Increased temperature D. Generalized rash over trunk

Correct Answer is A

Explanation

decreased level of consciousness indicate that the inflammatory process is spreading to the brain with increasing intracranial pressure. This may lead to herniation which is life threatening.

B. Photophobia is a normal feature of meningitis

C. Increased temperature is expected due to the infectious process

D. Generalized rash over the trunk is a common sign due to some causative organisms

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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 B

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Correct Answer is A

Explanation

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