A nurse is frustrated about what she feels is a lack of staff on her shift. When one of the patients fell and broke his hip, she documented the incident in the patient's chart
Which of the following is the best way that she should document what happened? A. "Fell while going to the bathroom. Physician notified."
B. "Nobody available to answer call bell; patient got up on own and fell."
C. "Patient fell due to unsafe staffing levels on unit."
D. "Patient waited as long as he could; nobody there to help him and he fell."
A
Never use the record for complaining, finger-pointing, or commenting on other nonpatient care issues. Only information relevant to patient care belongs in the record.
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A patient with iron deficiency anemia has begun taking daily supplements of oral ferrous sulfate. The nurse who is planning this patient's care should add what nursing diagnosis to the nursing care plan?
A) Risk for excess fluid volume related to use of iron supplements B) Risk for unstable blood glucose related to use of iron supplements C) Risk for constipation related to use of iron supplements D) Risk for peripheral neurovascular dysfunction related to use of iron supplements
In a vein-stripping procedure to treat severe varicose veins, which of these actions is involved?
a. The leg is compressed for 6 weeks in a threshold erythema dose (T.E.D.) hose while anticoagulant therapy is given. b. The vein is injected with a chemical that will cause the vein to sclerose. c. The vein is tied off with a suture. d. The vein walls are abraded by a wire with a "claw" on the end.
Within a multisite healthcare system, the most appropriate strategy for translation of research would be:
a. Widespread development of protocols us-ing EBP at unit levels. b. Dissemination of EBP and recommenda-tions to individuals, units, and the organi-zation. c. Development of the skills of individual managers on how to build guidelines based on EBP. d. Establishment of an interdisciplinary cen-ter to guide and lead the translation of re-search findings into practice.
The leadership team is deciding which clinical decision support system to implement in a large healthcare organization. Which should the team consider?
A) A system used to schedule client visits for follow-up care after extensive abdominal surgery B) A system used to register clients who are admitted to an acute healthcare facility for surgery C) A system used by emergency room administration to bill clients once their diagnoses are verified D) A system used by nurses to provide alerts for drug allergy, drug-drug interaction, and drug-laboratory interactions