A nurse is preparing a change-of-shift report for a patient who had chest pain. Which information is critical for the nurse to include?
a. Pupils equal and reactive to light
b. The family is a "pain"
c. Had poor results from the pain medication
d. Sharp pain of 8 on a scale of 1 to 10
D
Elements in a change-of-shift report include identification of significant changes in measurable terms (e.g., pain scale) and by observation. Report elements do not include normal findings or routine information retrievable from other sources or derogatory or inappropriate comments about the patient or family, which could possibly lead to legal charges if overheard by the patient or family. This kind of language contributes to prejudicial opinions about the patient. Don't simply describe results as "good" or "poor." Be specific.
You might also like to view...
According to Roy, the coping process of self-awareness
A. Signals the need for adaptive efforts. B. Interrupts ongoing behavior patterns. C. Restores sense of self. D. All of the above
An older client has recently moved to a nursing home. The client has trouble concentrating and socially isolates. A physician believes the client would benefit from medication therapy
Which medication should the nurse expect the physician to prescribe? A. Haloperidol (Haldol) B. Donepezil (Aricept) C. Diazepam (Valium) D. Sertraline (Zoloft)
A patient may be transferred because she requests a different room
Indicate whether the statement is true or false.
The nurse is assessing for fatigue in a patient diagnosed with multiple sclerosis. Which self -reporting tool is best for the nurse to utilize?
a. Multidimensional Assessment of Fatigue (MAF) b. Fatigue Severity Scale (FSS) c. Brief Fatigue Inventory (BFI) d. Multidimensional Fatigue Inventory (MFI)