The nurse preceptor is supervising the graduate nurse during shift handoff. Which statements by the graduate nurse would prompt the veteran nurse to clarify for the oncoming nurse? Select all that apply.

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“The patient called out four different times asking for pain medication for a pain level of 9 out of 10.”, “The patient’s aPTT was subtherapeutic, so the subcutaneous heparin interval was changed from every 12 hours to every 8 hours.” , “The patient complained of heartburn, so we requested an order for posaconazole 40 mg PO once per day. The first dose was given at 1200 today.” , “Mr. Smith in 21 has a long and complicated medical history. The most applicable problem currently is a broken femur that was surgically repaired yesterday.”. Shift change report needs to be thorough and accurate; therefore, the preceptor needs to clarify each of these statements. The nurse should include information about which pain medicine was administered, when it was given, and when the next dose can be administered. Additionally, the nurse should add the patient&rsquo;s pain scores after treatment. The nurse should provide the actual aPTT level as well as the dose for heparin. Posaconazole is a systemic antifungal medication; the nurse likely meant to say pantoprazole. This requires clarification. Although efforts to be succinct are appropriate, a long and complicated medical history should be discussed as it could have bearings on the current nursing care required.

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