The client in room 108 has been prescribed new pain medication.
A nurse is providing change-of-shift report to the oncoming nurse.
Which of the following information should the nurse include in the report?

Choice A rationale

The orientation phase of the interview typically involves introducing oneself, explaining the purpose of the interview, and establishing rapport with the patient. Asking about the drug list occurs after this initial introduction.

Choice B rationale

The termination phase is the concluding part of the interview, where the nurse summarizes key information and discusses the plan of care. Medication history is gathered much earlier in the assessment.

Choice C rationale

The working phase is where the nurse actively collects data about the patient's health history, current condition, medications, and other relevant information. Asking about the drug list, including herbal supplements and over-the-counter medications, is a key component of this data gathering process.

Choice D rationale

The pre-interaction phase occurs before meeting the patient and involves the nurse reviewing available information such as the patient's chart. The actual questioning of the patient happens later.

Choice E rationale

The evaluation phase occurs after interventions have been implemented to assess their effectiveness. It is not the phase where the initial assessment and data collection, including medication history, take place. .

Choice A rationale

This statement describes an assessment finding, specifically the amount of emesis. In the PIE model, assessment data is typically included in the Problem section to support the identified nursing diagnosis or problem. It provides objective evidence of the client's condition.

Choice B rationale

This statement describes the client's subjective report of symptoms. This information would also fall under the Problem section of the PIE note, as it identifies the issue the nurse is addressing. It represents the client's perception of their condition.

Choice C rationale

This statement details the specific nursing action taken to address the client's problem of nausea and vomiting. The Intervention section of the PIE note clearly outlines the nursing care implemented, including the medication administered, dosage, route, and reason.

Choice D rationale

This statement describes the evaluation of the intervention's effectiveness or the client's current status. In the PIE model, the Evaluation section documents the client's response to the nursing interventions and whether the problem has been resolved, improved, or remains the same.