What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Patients mental status

All pertinent nursing care

Visitors the patient had during the shift

Status of lung sounds

The patients favorite TV shows

Answer and Explanation

Correct Answer : A,B,D

A.   The patient's mental status is crucial for understanding their current cognitive and emotional condition. This information helps the incoming nurse assess whether there have been any changes or concerns regarding the patient's orientation, mood, or cognitive function.
B.   Documenting all pertinent nursing care provides a comprehensive overview of what has been done for the patient during the shift, including any treatments, medications administered, and changes in the patient's condition.
C.   While knowing who visited the patient might be relevant in some contexts, it is generally not a core component of clinical shift reports unless the visitors' presence impacted patient care or the patient’s condition. This information is usually not necessary for the shift report unless it directly affects the
patient’s care or treatment, such as if a visitor brought important information or had a significant impact on the patient.

D.   The status of lung sounds is a specific aspect of the patient's physical assessment and can indicate respiratory issues or improvements. This data is necessary if the patient has a respiratory condition or if there have been recent changes in their respiratory status. It helps the incoming nurse evaluate the effectiveness of treatments and ongoing respiratory care.
E.   Information about the patient's favorite TV shows is not relevant to clinical care and does not impact
the patient’s health status or the nursing interventions required. This information is not necessary for
the shift report as it does not contribute to the patient’s medical or care needs.

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Correct Answer is A

Explanation

A. Older adults often present with atypical symptoms when they have respiratory infections, such as pneumonia. They may not always exhibit classic signs like a cough or significant difficulty breathing. Instead, symptoms might include confusion, changes in mental status, or subtle signs of respiratory distress. This explanation addresses the patient's daughter's concern by acknowledging that older adults can show different manifestations of illness compared to younger people.
B.A This response is misleading. Respiratory problems can develop at any stage of an infection, not only after the infection is well established. Pneumonia can sometimes present without obvious respiratory distress or symptoms, especially in older adults. It’s crucial to recognize that pneumonia can manifest in various ways and early intervention is important.
C. While it's true that older adults may experience decreased muscular strength, this response might be too specific and not fully address the broader issue. It's also possible that the patient has enough strength but is not showing the typical signs of infection. This response might oversimplify the situation and could be seen as dismissive of the patient's actual symptoms.
D. This response, while optimistic, is not entirely appropriate in this context. It might come off as minimizing the daughter's concerns and does not directly address why the patient might not exhibit typical symptoms of pneumonia. It’s important to acknowledge the atypical presentation rather than simply focusing on the timing of the diagnosis.

A. "Have you been experiencing pain in your feet?" B. "What were the results of your most recent A1C blood test?" C. "Can you tell me why its important to test your blood glucose level at least daily?" D. "Which pharmacy do you use when your prescription needs to be refilled?"

Correct Answer is C

Explanation

A. This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B. This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C. This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D. This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.

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What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

Correct Answer is C

Explanation

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