List the pertinent information that should be included in a transfer report 2020/2021 EDITION ALL ANSWERS 100% CORRECT GUARANTEE GRADE A+

List the pertinent information that should be included in a transfer report. Age, Sex, medical diagnosis, medical history, demographic, plan of care, recent progress, recent vital signs and medications, allergies, special equipment, and code status. Please describe the five rights of delegation including an example of each: The right task- Delegating an AP to help a patient use a bedpan. Under the right circumstances-Delegating an AP to measure input and output To the right person- Delegating a LPN to administer enteral feedings With the right directions and communication- Delegating an AP to help assist a patient with a shower before 1000 Under the right supervision and evaluation- Delegate to an AP to assist with ambulating a client after the RN completes the admission assessment. List four (4) examples of a primary skin lesion including description and example of each. Provide an example of appropriate documentation of the integumentary system. Macule is nonpalpable, skin color change, smaller than 1cm Example: Freckle, petechiae Papule is palpable, circumscribed, solid elevation of skin, smaller than 1 cm Example: Elevated nevus Nodule is palpable, circumscribed, deep, firm, 1 to 2 cm Example: Wart Vesicle is serous fluid-filled, smaller than 1 cm Example: Blister, herpes simplex, varicella Documentation: Skin pink, warm, and dry. Turgor brisk, skin elastic. Rough, thickened skin over heels, elbows, and knees; otherwise, smooth. A 0.5 cm brown papule on right forearm and a 2.5 cm scar on left knee. Scalp dry with slight dandruff. Hair brown, clean, smooth, straight, evenly distributed on the head. Axillary and pubic hair evenly distributed with no infestations. Nails short and firm with no clubbing. Capillary refill <3 seconds. No edema. Pulses palpable, 2+, and equal bilaterally. What are three (3) of the provider’s responsibility for obtaining an informed consent? -Reason the treatment or procedure is needed -How the treatment or procedure will benefit the client -Risk involved if treatment or procedure is chosen Identify and explain the three (3) types of torts. Provide one (1) example for each type of tort. Intentional wrong- Occurs when a person acts with the intent of injuring a person, his or her property, or both. Negligence- occurs when a persons failure to use reasonable care causes harm. Strict liability- The defendant is engaged in an activity so dangerous that there is serious risk of harm even if he or she acts with utmost care. List three (3) actions to take during the analysis or data collection step. Use therapeutic communication techniques, reduce environmental noises, introduce yourself and assessment Identify five (5) areas of injury prevention applicable to the adolescent client. Provide one (1) example for each area identified. -Bodily harm-keep firearms in a locked cabinet or box -Burns- teach fire safety -Drowning- teach swimming skills and safety -Motor-vehicle injury- Emphasize seat belt use -Substance use disorders- Monitor at-risk adolescent The nurse discovers a fire on the unit. After following the proper steps included in RACE, the nurse begins to extinguish the fire. What is RACE? What are the proper steps for using a fire extinguisher? R: rescue and protect clients in close proximity to the fire by moving them to a safer location. Clients who are ambulatory may walk independently to a safe location. A: alarm: activate the facility’s alarm system and then report the fire’s details and location C: contain/confine the fire by closing the doors and windows and turning off any sources of oxygen and any electrical devices. Ventilate clients who are on life support with a bag-valve mask E: extinguish the fire if possible using the appropriate fire extinguisher. For fire extinguisher, use the PASS sequence P: pull the pin A: aim at the base of the fire S: squeeze the handle S: sweep the extinguisher from side, to side, covering the area of the fire.