The nurse admits a client who self-injures and needs intensive supervision. Which should the nurse include in the end-of-shift report?
1. "The client cried off and on all day.".
2. "The client's family is not concerned.".
3. "The client might try something drastic.".
4. "The client in room 204 is a real problem.".
1
1. Stating that the client cried is suitable information to include in the end-of-shift report because it is objective data offering no opinion. It allows the on-coming nurse to use the data in the plan of care.
2, 3, and 4. The remaining choices include the nurse's opinion by labeling the client as a "real problem," predicting that the client may attempt a "drastic" measure, and by labeling the family as "not concerned.". These opinions are unusable information.
You might also like to view...
Which of these statements are TRUE about antibiotics?
a. Antibiotics are effective against viruses b. Antibiotics do not destroy normal flora c. Client should take all antibiotics prescribed d. Individuals can not develop resistance to antibiotics if they take a partial dose of the medication
A female patient tells the nurse that at times the pain she has is so severe that she cannot move or get out of bed at home. What should the nurse realize is contributing to this patient's pain?
1. gender 2. overuse of alcohol 3. overuse of pain medication 4. too much sleep and rest
What structure is located in the upper third of the sternocleidomastoid muscle?
a. Branchial cleft cyst b. Cricoid cartilage c. Lacrimal duct d. Thyroid gland
Sexuality is important for older persons
Indicate whether the statement is true or false.