Purposes/Reasons for Client Records

Purposes/Reasons for Client Records ( 5 Questions)

A nurse is preparing a report for a client who is being transferred to another unit.

Which of the following statements should the nurse include in the report?



Correct Answer: A

“The client is alert and oriented to person, place, and time.” 

This statement provides the most relevant and current information about the client’s mental status and level of consciousness, which are important for the receiving nurse to know.

The other statements are either too vague (C), too general (B), or not a priority (D) for a transfer report.

Choice B is wrong because it does not specify the current status of the client’s hypertension and diabetes, such as blood pressure, blood glucose, medications, or complications.

This information is more appropriate for a written summary or a discharge report.

Choice C is wrong because it does not provide the actual values of the client’s vital signs, which can vary depending on the client’s condition and baseline.

The receiving nurse should know the exact numbers to monitor for any changes or abnormalities.

Choice D is wrong because it does not indicate the reason why the client needs assistance with bathing and dressing, such as mobility issues, pain, or weakness.

This information is also less urgent than the client’s mental status and vital signs.

Normal ranges for vital signs are:.

• Temperature: 36.5°C to 37.2°C (97.7°F to 99°F).

• Pulse: 60 to 100 beats per minute.

• Respirations: 12 to 20 breaths per minute.

• Blood pressure: less than 120/80 mm Hg.

Sources:.




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