A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally?
a. Charts legibly
b. States the patient is belligerent
c. Writes entry for another nurse
d. Uses correction fluid to correct error
ANS: A
Record all entries legibly. Do not write personal opinions (belligerent). Enter only objective and factual observations of patient's behavior; quote all patient comments. Do not erase, apply correction fluid, or scratch out errors made while recording. Chart only for yourself.
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A child in the intensive care unit with tetanus will be receiving a neuromuscular blocking agent. Which intervention takes priority for this child?
A. Monitor urinary catheter output hourly. B. Provide stimulation from TV or radio. C. Turn patient every 2 hours. D. Provide ventilator care to prevent pneumonia.
The nurse finds a client on the previous shift received 100 mg of Demerol intravenously instead of the ordered 50 mg of Demerol. Which statement should be documented in the client?s chart?
1. Demerol 100 mg given IV at 0800. Client?s vital signs unchanged. 2. Demerol 100 mg given IV instead of the ordered dose of Demerol 50 mg. 3. Demerol 100 mg given accidentally instead of Demerol 50 mg. 4. Demerol 100 mg given IV and client notified.
The nurse is preparing to administer medication to a school-age client who weighs 66 lbs. The provider prescribes Kantrex (kanamycin). The medication is prescribed as 15 mg/kg/day, IM in equally divided doses every 12 hours
How many mg will the provider prescribe for this client? Round answer to the nearest whole number.
When describing the impact of collective representation of nurses, which factor would be included?
A) Nurses are highly represented by collective-bargaining agents. B) A very small portion of registered nurses belongs to the ANA. C) The numbers of nurses involved provide significant money for lobbying. D) Professional organizations respond to the needs of the nurse at the bedside.