As part of conversion to a new electronic medical record format, a hospital is also instituting charting by exception. The nurse manager would caution staff nurses that charting by exception has which major drawback?
1. It may not provide enough information to support trending of the patient's condition.
2. It does not allow for use of uniform standards.
3. It is not admissible in court because there is not enough background in the documentation.
4. This method takes much more time than narrative charting.
1
Rationale: The major problem with charting by exception is that it is often difficult to see the changes or trends that may indicate worsening of the patient's condition.
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The nurse is working with a pregnant teen. In order to accurately assess the teen's nutritional intake, the nurse should:
1. Assess laboratory values. 2. Ask her to complete a 24-hour dietary recall. 3. Observe for clinical signs of malnutrition. 4. Ask about her cooking facilities.
The nurse is preparing to provide a medication to a client using a non-parenteral route. This medication would most likely be administered through which of the following routes?
a. Intradermal c. Intravenous b. Subcutaneous d. Oral
While teaching a preconception class, the nurse should include which recommendation to decrease the risk of neural tube defects?
1. 500 mg vitamin C every day 2. 0.4 mg folate every day 3. 1500 mg calcium every day 4. 400 IUs vitamin A daily
How would you safely identify the medications on the set-up? Provide rationales to explain why you believe your actions are important
You have ‘scrubbed-in' to take over the instrument nurse role for a patient undergoing a complex breast reconstruction involving a latissimus dorsi free flap. The procedure is at the mid-way point when you scrub in. The instrumentation set-up has multiple receivers (i.e. gallipots) and syringes containing a variety of fluids, which your colleague identifies as local anaesthetic, heparinised saline and adrenaline solutions. None of the containers or syringes is labelled. What will be an ideal response?