A nurse is preparing the shift handoff report to the nurse assuming responsibility for the patients. What information should the nurse include in the handoff report? Select all that apply

A. The patient's birthday
B. The patient's diagnosis
C. The patient's status
D. Priority interventions


ANS: B, C, D

Nursing

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An older adult client admitted with pneumonia has a normal body temperature. Which reason for this inconsistency in body temperature will the nurse plan for when providing care to this client?

A) The room is cold. B) The client does not have pneumonia. C) The temperature is not a valid indicator of the pathology of the illness. D) The client is losing body heat.

Nursing

A nurse is caring for a client with terminal cancer. The client asks the nurse, "What is the difference between palliative and hospice care?" What is the best response by the nurse?

A) "There is no difference between the two." B) "In palliative care, you must have a terminal illness and have less than 6 months to live. In hospice care you can be in your last stage of illness." C) "Palliative care is focused on attempting to achieve the best quality of life for a client with a serious illness. You may be in any stage of the disease. Hospice care is care and support for a client with less than 6 months to live focused so that the client may live as fully and comfortably as possible." D) "Palliative care can only take place in your home. Hospice care can take place in any care setting."

Nursing

An older adult is no longer able to maintain independent living and relocates to an assisted-living facility. What type of loss does this represent?

a. aspect of self c. external object b. significant other d. familiar environment

Nursing

Your client had surgery 2 days ago and has been on bed rest since then. He now has medical orders to ambulate bid. What is the first step you should take to help this client?

1. Get him a walker. 2. Have him sit on the edge of the bed for several minutes. 3. Help him to stand carefully, alternating weight between his feet. 4. Ask Physical Therapy for a consult.

Nursing