Which factor is essential to keep in mind while documenting in a patient's chart?
A. Include less information rather than too much.
B. Only record assumptions at the end of documentation.
C. Add a signature only with written documentation, not electronic.
D. Avoid abbreviations unless it is clear that anyone can understand them.
E. Only chart what others see as significant.
Answer: D
You might also like to view...
When steatorrhea associated with pancreatitis occurs, what intervention should follow?
a. Administration of pancreatic digestive enzymes b. Early initiation (within 48 hours) of enteral nutrition c. A low-carbohydrate nutrition prescription with modest protein d. Calcium supplements along with a multivitamin e. Fluid and sodium restriction
Recent RDAs recommend an increase in ________ for both men and women at the age of 9 to prevent osteoporosis in later years
A) protein B) vitamin D C) iron D) calcium
A 7 year old on a ketogenic diet requires 1500 calories. Which is the appropriate order?
a. 145 g fat, 25 g protein, 25 g carbohydrate b. 95 g fat, 40 g protein, 25 g carbohydrate c. 102 g fat, 56 g protein, 12 g carbohydrate d. 75 g fat, 32 g protein, 43 g carbohydrate
High intake of _____ interfere with copper absorption and can lead to a deficiency
a. zinc b. iron c. chromium d. manganese e. selenium