The nurse is caring for a client and has provided client education on new medications prior to discharge. The nurse is aware that a final professional responsibility related to client teaching is documentation
What will the nurse ensure is included in the client's documentation? a. client's education level
b. client's participation in the process
c. content and teaching method used
d. number of family members present during teaching sessions
C
A final professional responsibility related to client teaching is documentation. Legally, if a nurse taught a client but did not document the teaching, the teaching never occurred. A nurse's documentation of client teaching is also essential to promoting continuity of care and to communicating with other health care team members. Documentation should include the content taught, the teaching methods used, the learner(s) involved, and the client's and family members' response to the teaching activities.
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The nurse is performing a neurological assessment. Which patient behaviors demonstrate a level of consciousness within normal limits?
a. States name, age, and date but not location b. Is lethargic; responds logically to ques-tions c. Responds verbally, but words are unintel-ligible d. Responds to questions spontaneously; is alert and oriented
Which does the nurse consider a normal finding during the assessment of the adult client's lower extremities?
1. Tissue necrosis 2. Distal ischemia 3. Negative Babinski reflex 4. Negative Romberg's test
The majority of people over age 65 are ill and disabled
Indicate whether the statement is true or false
A nurse admits a 5-year-old female to the postanesthesia unit following a tonsillectomy. The child is crying. What should be the nurse's first action?
a. Tell the child that if she stops crying, her parents can be with her. b. Check to see what pain medication is ordered for the child. c. Notify the surgeon of the child's postoperative condition. d. Assess the child to determine why she is crying.