Select words from the choices below to fill in each blank in the following sentence.

To further evaluate the client, the nurse anticipates the client will need

____

and

____

.

A) *The client's partner visited earlier today for 2 hours: While this information is helpful for the personal context of the client, it is not essential to the clinical care of the client or a critical part of the handoff. The change-of-shift report should focus on relevant clinical information that affects ongoing care, such as treatment responses, medications, or changes in condition.

B) "The client reports pain is reduced when he is positioned on his side": This is important clinical information that should be included in the report. It provides insight into the client’s current comfort measures and pain management strategies. Sharing how the client’s pain can be alleviated will help the next nurse provide the most effective care and manage the client's comfort.

C) "The client received the prescribed antibiotic every 8 hours": While medication administration is an essential part of the report, this specific detail is unnecessary if the medication administration schedule is already part of the client's medical record or the nurse's medication administration documentation. The change-of-shift report should focus on whether the client has had any reactions, responses, or issues related to the medication, rather than simply repeating the schedule.

D) "The client's mother died 4 years ago from breast cancer": This personal history may be relevant to understanding the client's emotional well-being but is not essential in a clinical report unless it directly impacts current care. If the client's grief or family history affects their current health status (such as in the case of emotional distress, family health risks, or health behaviors), it may be relevant, but it's generally not a priority in a shift report unless it has immediate implications for care.

Airborne precautions (Anticipated): Tuberculosis is an airborne disease, requiring negative pressure isolation, N95 respirators, and airborne precautions to prevent transmission.

Rifampin (Anticipated): A key first-line TB medication that inhibits bacterial RNA synthesis. It is part of the standard RIPE (Rifampin, Isoniazid, Pyrazinamide, Ethambutol) regimen.

Contact precautions (Contraindicated): TB does not spread via direct contact, so contact precautions (gloves, gowns) are unnecessary unless the client has open wounds with drainage.

Isoniazid (Anticipated): A primary anti-TB drug that inhibits mycolic acid synthesis, crucial for treating active and latent TB infections.

Monthly TB skin test for 1 year (Contraindicated): Once TB is diagnosed, routine Mantoux tests are unnecessary, as they will likely remain positive due to prior exposure.

Pyrazinamide (Anticipated): A bactericidal TB medication used in the intensive phase of treatment to shorten therapy duration.

Ethambutol (Anticipated): Used to prevent drug resistance in TB treatment. Regular eye exams are needed due to the risk of optic neuritis.