Question

A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change of shift report?

a) The client's fluid intake and output.
b) The client's surgical history.
c) The client's preferred pain management methods.
d) The client's respiratory status and need for oxygen.

Answer 1

When transferring a client post-pneumonectomy from the ICU, a nurse must include the patient's respiratory status and oxygen needs, as well as their preferred pain management methods, in the change of shift report to ensure continuous and appropriate care on the medical floor.

Step-by-step explanation:

When preparing to transfer a client from the ICU to the medical floor after a pneumonectomy and weaning from mechanical ventilation, it is critical to include the client's respiratory status and oxygen needs in the change of shift report. This information is essential due to the recent surgery and the potential for respiratory complications. In addition to the respiratory parameters, it would also be beneficial for the receiving nurse to be aware of the client's preferred pain management methods, as effective pain management is crucial for patient comfort and respiratory function post-pneumonectomy.

Other important considerations for the report that emerge from the practice settings might include the client's fluid intake and output, as well as any surgical history that could impact their immediate care needs. The inclusion of detailed, patient-specific information will facilitate a smooth transition and ensure continuity of care.