The nurse is preparing to document care provided to a client during the day shift. The nurse notes that the client experienced an increased pain level while ambulating and thus required an extra dose of pain medication; took a shower; visited with family; and ate a small lunch. Which information is important to include during the oral end-of-shift reporting? Select all that apply.
A)The extra dose of pain medication
B)The client's visit with family
C)The client's response to ambulation
D)The last antibiotics given
E)The client's taking a shower

Question

Quizplus · Accepted Answer

A)To best provide for the client's safety, the nurse should pass on information about the client's response to ambulation so that the oncoming staff can take fall precautions. The nurse should also report any as-needed medications that were given and when they were last administered. The client's visit with family need not be mentioned at change of shift but should be documented. Likewise, taking a shower does not need to be reported, only documented. Antibiotic administration would be reflected on the medication administration record (MAR).
B)To best provide for the client's safety, the nurse should pass on information about the client's response to ambulation so that the oncoming staff can take fall precautions. The nurse should also report any as-needed medications that were given and when they were last administered. The client's visit with family need not be mentioned at change of shift but should be documented. Likewise, taking a shower does not need to be reported, only documented. Antibiotic administration would be reflected on the medication administration record (MAR).
C)To best provide for the client's safety, the nurse should pass on information about the client's response to ambulation so that the oncoming staff can take fall precautions. The nurse should also report any as-needed medications that were given and when they were last administered. The client's visit with family need not be mentioned at change of shift but should be documented. Likewise, taking a shower does not need to be reported, only documented. Antibiotic administration would be reflected on the medication administration record (MAR).
D)To best provide for the client's safety, the nurse should pass on information about the client's response to ambulation so that the oncoming staff can take fall precautions. The nurse should also report any as-needed medications that were given and when they were last administered. The client's visit with family need not be mentioned at change of shift but should be documented. Likewise, taking a shower does not need to be reported, only documented. Antibiotic administration would be reflected on the medication administration record (MAR).
E)To best provide for the client's safety, the nurse should pass on information about the client's response to ambulation so that the oncoming staff can take fall precautions. The nurse should also report any as-needed medications that were given and when they were last administered. The client's visit with family need not be mentioned at change of shift but should be documented. Likewise, taking a shower does not need to be reported, only documented. Antibiotic administration would be reflected on the medication administration record (MAR).

The Nurse Is Preparing to Document Care Provided to a Client