Management of CareQuestion 6 of 120
Which situation is the highest priority for the nurse to report to the oncoming shift during handoff?
a.A client whose dressing was changed two hours ago
b.A client with a newly inserted chest tube and unstable vital signs
c.A client who ate 100% of the evening meal
d.A client who ambulated in the hallway without difficulty
Explanation
Handoff should emphasize the least stable, highest-risk client. A new chest tube with unstable vital signs requires close monitoring and clear communication to ensure continuity of care.
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