A nurse administers a medication for pain but forgets to document it in the client's medical record. Legally, what does this mean?
A) Nothing, the nurse's honesty will not be questioned.
B) The nurse can add the documentation after the client goes home.
C) The physician will verify that the nurse carried out the order.
D) In the eyes of the law, if it is not documented, it was not done.
Ans: D
Nurses must carefully document each intervention. The legal truth is "if it wasn't documented, it wasn't done."
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The patient is undergoing chronic stress and has a prolonged sympathetic response. What type of drug could this patient receive to reduce the sympathetic response? (Select all that apply.)
A) A drug that reduces sympathetic response B) A drug that increases sympathetic response C) A drug that reduces parasympathetic response D) A drug that increases parasympathetic response E) A drug that reduces central nervous system (CNS) response
A nurse is providing teaching for a nondiabetic adult who develops growth hormone deficiency and who will begin treatment with somatropin [Humatrope]. Which statement by the patient in-dicates understanding of the teaching?
a. "Intramuscular dosing is more effective than subcutaneous dosing." b. "I will have increased muscle mass and strength as well as increased height." c. "I will need to monitor my blood pressure frequently while taking this drug." d. "I will need to take insulin while using this, because it causes hyperglycemia."
A patient with very thin, fragile skin has just been resuscitated in the emergency department. During the resuscitation efforts, a dressing was taped over an IV site. How should the nurse remove this dressing?
1. Grasp the tape and pull sharply and quickly. 2. Rub the sides of the tape until it loosens. 3. Hold the skin down and gently pull the tape off. 4. Allow the tape to loosen over several days and remove it in sections.
Which of the following foods is likely to be well received by a cancer client with mouth ulcerations?
1. Hot tomato soup 2. Cold lemonade 3. Pasteurized eggnog 4. Bread pudding with raisins