A nurse is transferring a 12-year-old child from the pediatric unit to the intensive care unit (ICU) after a severe asthma attack. What is the most important information that the nurse should communicate to the ICU staff during the handoff report?
The child's name, age, diagnosis, and allergies
The child's vital signs, oxygen saturation, and pain score
The child's medication history, current medications, and IV fluids
The child's family situation, coping skills, and emotional needs
The Correct Answer is B
Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.
Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.
Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.
Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent vaso-occlusive crises, which are episodes of severe pain caused by blocked blood vessels due to sickled red blood cells.
Choice B reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent hemolytic crises, which are episodes of rapid red blood cell destruction due to dehydration or infection.
Choice C reason: This instruction is important but not the most important for the nurse to give to the child and family, as it helps prevent megaloblastic anemia, which is a type of anemia caused by folic acid deficiency due to increased red blood cell production.
Choice D reason: This instruction is the most important for the nurse to give to the child and family, as it helps prevent sequestration crises, which are episodes of life-threatening organ damage caused by pooling of blood in the spleen or liver due to sickled red blood cells.
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason: The infant's immunization status is important information to obtain, as it may indicate the risk of vaccine-preventable diseases or adverse reactions to vaccines.
Choice B reason: The infant's birth weight and length are not relevant information to obtain, as they do not reflect the current growth and development of the infant.
Choice C reason: The infant's feeding and sleeping patterns are important information to obtain, as they may indicate nutritional status, growth rate, comfort level, and potential problems such as reflux, colic, or sleep apnea.
Choice D reason: The infant's developmental milestones are important information to obtain, as they may indicate normal or abnormal development, cognitive abilities, motor skills, and social-emotional functioning.
Choice E reason: The infant's family history of allergies is important information to obtain, as it may indicate genetic predisposition or environmental triggers for allergic reactions or asthma.
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