Describe how you will document the phone call with K.W
What will be an ideal response?
First, state the date and time of the call and who provided the information. Then describe the
subjective information she provided, giving enough detail to support the plan of action and justify
that her problem can be managed without an in-person visit. In this case, you would document her
complaints of flu symptoms, noting that she has not taken insulin or checked blood glucose level.
You would then detail the plan of action, describing the care instructions you gave her, including
monitoring of glucose and ketones, concluding with when she was to follow up with you and the
parameters for seeking additional care.
You might also like to view...
A client with rheumatoid arthritis is recovering from an appendectomy. The client takes aspirin for joint pain. The nurse monitors the wound closely for complications, anticipating which of the following?
1. Delayed healing from the use of aspirin 2. Increased pain levels due to the arthritis 3. Pneumonia due to immobility 4. Joint contractures due to immobility
When a community health nurse is planning to teach a group of new immigrants from a non-English speaking country about the need for immunizations, the nurse should include which in his or her plans?
A) Using a lot of pictures B) Guessing about the native language and attempting to speak it C) Using an interpreter D) Talking clearly and slowly, being sure to enunciate each word
The nurse manager on the psychiatric unit was explaining to the new staff the differences be-tween typical and atypical antipsychotics. She correctly stated that atypical antipsychotics:
1. Remain in the system longer 2. Act more quickly to reduce delusions 3. Produce fewer extrapyramidal effects 4. Are risk free for neuroleptic malignant syndrome (NMS)
Nurses at an urban emergency department seek to develop a plan to help women involved in abusive relationships. Which of the following components is most critical to the success of the plan?
A) The presence of a specialized intimate partner violence (IPV) counselor B) The creation of appropriate and efficient avenues for referral C) The implementation of a quality of life assessment tool D) The availability of written educational materials