A nurse is transferring a 7-year-old child who has cystic fibrosis from the pediatric unit to the respiratory unit. What information should the nurse include in the handoff report? (Select all that apply.)
The child's name, diagnosis, and allergies
The child's respiratory status and oxygen therapy
The child's chest physiotherapy and nebulizer treatments
The child's pancreatic enzyme replacement and nutritional supplements
Correct Answer : B,C,D
Choice A reason: This information is important but not specific for the nurse to include in the handoff report. It may be already available in the electronic health record or the transfer form.
Choice B reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the main problem and intervention for the child who has cystic fibrosis.
Choice C reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the routine and ongoing care for the child who has cystic fibrosis.
Choice D reason: This information is specific and essential for the nurse to include in the handoff report, as it reflects the secondary problem and intervention for the child who has cystic fibrosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the recommended blood glucose monitoring schedule.
Choice B reason: This statement by the parent indicates an understanding of the teaching, as it shows adherence to the prescribed insulin regimen.
Choice C reason: This statement by the parent indicates an understanding of the teaching, as it shows awareness of how to treat hypoglycemia.
Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
Correct Answer is D
Explanation
Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.
Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.
Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.
Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.
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