The nurse assists a client from the bed into a wheelchair. Which items will the nurse include when documenting this transfer in the medical record?
Select all that apply.
1. The number of assistants required for the transfer
2. The education provided to the unlicensed assistive personnel (UAP) who assisted
3. Any education provided to the client and family
4. A description of the positioning aides that were used
5. The client's tolerance of the transfer
Correct Answer: 1,3,4,5
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Listening for bowel sounds should be done over all four quadrants of the abdomen using the diaphragm of the stethoscope. What is the normal rate of bowel sounds per min-ute?
a. 2-10 b. 3-20 c. 4-32 d. 5-40
The nurse, planning an educational program for high school students, realizes that a major risk for injury among adolescents is:
a. disease. b. abduction by strangers. c. substance abuse. d. bicycle injuries.
When you enter the examination room of a 3-year-old girl, you find her sitting on her father's lap. She turns away from you when you greet her. Initially, your best response is to:
a. leave the child sitting in the father's lap while you talk to the father. b. ask the child to be seated on the examina-tion table so that you can talk to her fa-ther. c. explain to the child that you will not hurt her and that she will have to trust you. d. ask the father to persuade the child to cooperate with you.
The health care organization has decided to begin using a new computerized documentation system. The nurse manager's unit has been selected to pilot the new documentation system
Which of the following staff nurse's responses might be expected during the initial phase of the pilot? Select all that apply. 1. "If you use this screen for your neurological assessment, you won't have to go to that other screen to document the Glasgow Coma Scale assessment." 2. "I'm excited about this. I think it's going to be a much better way to document." 3. "This doesn't work as well as our old system." 4. "So, is it really faster for you? I feel like it's taking me a longer time to get my assessment documented." 5. "Maybe we could keep the old system in place as a backup until we get the new system going well."