The nurse working on a medical unit is transferring a client to the intensive care unit (ICU) after a change in the client's status. When handing off care of the client to the ICU, the nurse gives the following report: Mrs
Marlinton was admitted with a diagnosis of congestive heart failure and was placed on diuretics, and was responding well with a weight loss of 4 pounds. She is currently taking digoxin (Lanoxin) 0.25 mg p.o. daily, Lasix 40 mg p.o. twice a day, and amoxicillin (Amoxil) 500 mg four times a day for a urinary tract infection. She said she was feeling much better this morning. Her breath sounds were clear and equal at 7:30 a.m., and she was breathing easily. She will require her morning medications at 10 a.m., and last received her antibiotic this morning at 6 a.m. so it will be due at 12 noon. What part of the report, using the SBAR technique, did the nurse exclude? 1. Situation
2. Background
3. Assessment
4. Recommendation
1
Rationale: The client's history (background) is provided, along with a review of the morning assessment and medication orders (assessment). The nurse has explained when her next medications will be due (recommendation); however, the current situation that caused the client to be transferred was not mentioned.
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The nursing instructor is discussing COX-2 inhibitors with her nursing students. Where would the instructor tell her students that COX-2 inhibitors work?
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The client has requested information from the nurse about how to lose weight. Which of the following is an appropriate client goal?
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A new mother seemed hesitant to let the student nurse into her apartment. However, the visit seemed to go well, with the nurse sharing information, resources,
and positive support to the new mother. At the end of the visit, the mother thanked the student nurse profusely but said she thought she was all right now so there was no need for the student to return. What is the student's best choice for future visits? A. Chart that the mother was noncompliant and would not let the student return. B. Plan on returning in 1 week to answer any new questions the mother might have about her baby, how to care for him, or how infants grow and develop. C. Stress how to get in touch with the public health agency if the mother ever has questions or needs assistance and then wish her the very best. D. Try to find lots of free formula, baby cereal, infant clothes, and other goodies to give the new mother so she will let the student back into the apartment.