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The Day Shift Nurse Provides Handoff of Care Report to the Oncoming

Question 129

Multiple Choice

The day shift nurse provides handoff of care report to the oncoming night shift nurse.  Which of the following statements by the nurse are appropriate to include in the report?  Select all that apply.


A) "A continuous IV heparin infusion was initiated at 18 units/kg/hr at 0800, and the infusion bag will need to be replaced at 2100."
B) "I gave acetaminophen 500 mg PO to the client for a headache, with good relief."
C) "The client had morphine 2 mg IV 30 minutes ago for chest pain and now reports 3 on a pain scale of 0-10."
D) "The client's sisters visited today and were very rude, but they did bring the client's medication list."
E) "The radiology department called to say that an ultrasound will be performed at 2100."

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