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 C

Explanation

Restraints should be removed every two hours to assess skin integrity under the restraints and distal circulation

A. A square knot may be difficult to release in the case of an emergency

B. Restraints should be attached to movable parts of the bed to avoid injury during pulling.

D. Allow two fingerbreadths between the restraint and the wrist

A. The nurse puts on a face mask. B. The nurse turns her back to the sterile field. C. The nurse holds her hands above her waist. D. The nurse applies goggles.

Correct Answer is C

Explanation

Keeping hands above the waist prevents contamination of the hands with anything below the waist as this zone is not sterile

A and D. Anything above the shoulder is considered not sterile.

B. The nurse’s back is not sterile when turned to the sterile field it contaminates it

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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

A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

Correct Answer is C

Explanation

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)