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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This action should be taken first by the nurse, as it provides essential data about the child's condition and helps identify any signs of deterioration or complications.
Choice B reason: This action should be taken by the nurse after obtaining a set of baseline vital signs, as it provides more comprehensive data about the child's physical status and helps identify any abnormalities or problems.
Choice C reason: This action should be taken by the nurse after performing a head-to-toe physical assessment, as it provides additional data about the child's risk of infection or adverse reactions to vaccines.
Choice D reason: This action should be taken by the nurse after reviewing the child's immunization record, as it provides important data about the child's risk of allergic reactions or drug interactions.
Correct Answer is C
Explanation
Choice A reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of chest physiotherapy for cystic fibrosis.
Choice B reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of pancreatic enzyme replacement for cystic fibrosis.
Choice C reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the dietary recommendations for cystic fibrosis. The child should drink plenty of fluids but avoid foods that are high in salt, as they can worsen dehydration and electrolyte imbalance.
Choice D reason: This statement by the child indicates an understanding of the teaching, as it shows awareness of the importance of infection prevention for cystic fibrosis.
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