A 55-year-old patient returned to the medical-surgical unit after undergoing a right hemicolectomy (abdominal surgery) for colon cancer. Which of the following is an appropriate, correctly written nursing order for this patient?
a. 7/12/15 Encourage use of the incentive spirometer every hour while the client is awake—D. Goodman, RN
b. By 7/12/15, uses incentive spirometer 10 times every hour while awake to 1,000 mL
c. Incentive spirometer hourly while awake
d. Offer incentive spirometer to the client—J. Smith, RN
A
The option beginning with a date and ending with the RN's signature contains necessary information. It contains the date the order was written along with specific instruction for the nurse that is written in terms of nursing behavior. "Uses incentive spirometer 10 times . . ." is an example of an expected outcome. "Incentive spirometer hourly . . ." is an example of a medical order. In this case, the date and nurse's signature are missing. "Offer incentive spirometer . . ." does not provide the nurse with enough detailed instruction. Therefore, it is a poorly written nursing order.
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