Author Question: An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care ... (Read 139 times)

s.tung · **on:** Jun 25, 2018

An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information should the nurse include in the nurse-to-nurse hand-off report? (Select all that apply.)

a. Mechanism of injury
b. Diagnostic test results
c. Immunizations
d. List of home medications
e. Isolation precautions

Question 2

An emergency department nurse is caring for a client who is homeless. Which action should the nurse take to gain the client's trust?

a. Speak in a quiet and monotone voice.
b. Avoid eye contact with the client.
c. Listen to the client's concerns and needs.
d. Ask security to store the client's belongings.

macybarnes · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, E
Hand-off communication should be comprehensive so that the receiving nurse can continue care for the client fluidly. Communication should be concise and should include only the most essential information for a safe transition in care. Hand-off communication should include the client's situation (reason for being in the ED), brief medical history, assessment and diagnostic findings, Transmission-Based Precautions needed, interventions provided, and response to those interventions.

Answer to Question 2

ANS: C
To demonstrate behaviors that promote trust with homeless clients, the emergency room nurse should make eye contact (if culturally appropriate), speak calmly, avoid any prejudicial or stereotypical remarks, show genuine care and concern by listening, and follow through on promises. The nurse should also respect the client's belongings and personal space.