Accurate, complete, and appropriate nursing entries in a client chart include: Standard Text: Select all that apply
1. (date) 0200 Mrs. Smith appears to be sleeping.------S. Smith, LPN
2. (date) 0200 Client resting in bed with eyes closed.------S. Smith, LPN
3. (date) 0800 Client angry at husband for spending too much money. -------S. Smith, LPN
4. (date) 0900 Client refused 0400 dose of Amoxacillin.-------S. Smith, LPN
5. (date) 0700 Client smiling, talking on telephone. -----S. Smith, LPN
2,5
Rationale: The word ‘appears' makes the entry an interpretation, rather than an observation.
You might also like to view...
A nurse researcher assesses the degree to which individual items on a scale cluster together around multiple dimensions using what?
a. Factor analysis b. Split-half reliability c. Cronbach's alpha coefficient d. Kuder-Richardson coefficient
A patient develops a fever, rash, joint and muscle pain, and swollen lymph nodes after receiving a sulfonamide. What should these symptoms suggest to the nurse?
1. serum sickness 2. exacerbation of a disease process 3. acute influenza 4. subacute rheumatoid arthritis
A client, being treated with chemotherapy and radiation for terminal cancer, decides to stop any further treatment and enter the hospice program. The nurse realizes this client's decision is supported by the ethical principle of:
1. autonomy. 2. nonmaleficence. 3. beneficence. 4. justice.
A nurse is providing teaching to the mother of an adolescent girl about how to manage menstrual pain nonpharmacologically. Which statements by the mother indicates a need for further teaching?
A) "I need to help her learn techniques to distract her; card games, for example." B) "I need to be able to identify the subtle ways she shows pain." C) "I need to follow these instructions exactly for them to work properly." D) "I need to encourage her to practice and utilize these techniques."