Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit.Which of the following statements should the nurse include in the hand-off report?
Correct answer
A
Rationale
The correct answer is A: The estimated blood loss was 250 mL. This statement is important for the receiving nurse to know as it provides crucial information about the client's condition post-surgery. It helps in monitoring for signs of hemorrhage or other complications. The other choices (B, C, D) are not essential for the hand-off report as they do not directly impact the client's immediate care or safety. Choice B is subjective and not a clinical observation. Choice C is about the client's family, which is not pertinent to the client's medical status. Choice D is a general safety measure and not specific to the client's condition.