The nurse avoids errors in documentation by following accepted guidelines when documenting in a client record, which include: Standard Text: Select all that apply
1. Describe what you think
2. Quote client directly
3. Describe observed behavior
4. Leave spaces between entries per agency policy
5. Write error through a mistaken entry
2,3
Rationale: An accurate entry records what the nurse sees and hears, not thoughts or opinions.
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The nurse is aware that the drug t-PA (Activase), a tissue plasminogen activator, must be given in____hours of the onset of symptoms to have maximum benefit
a. 3 hours b. 4 hours c. 6 hours d. 8 hours
A patient nervously explains that she has just become sexually active and has a rash. She quickly states that it can't be a sexually transmitted disease (STD) because "he used a condom."
The nurse examines the patient and finds her vagina to be erythematous and edematous. Based on the data, which is the most likely cause for the patient's symptoms? 1) HPV 2) Gonorrhea 3) Bacterial infection 4) Latex allergy
Which of the following signs and symptoms BEST represent the anticholinergic side effects most often associated with antipsychotic medications?
a. agitation, pacing, slurred speech, and sedation b. blurred vision, constipation, dry mouth, and urinary hesitancy c. tremors, spasms of the tongue, pacing, and shuffling gait d. double vision, insomnia, headache, and urinary frequency
A patient took a large quantity of bath salts. Priority nursing and medical measures include: (select all that apply)
a. administration of naloxone (Narcan). b. vitamin B12 and folate supplements. c. restoring nutritional integrity. d. management of heart rate. e. environmental safety.