A nursing student has been assigned to a client on a surgical unit and must learn the client's pertinent history, daily treatments, diagnostic procedures, allergies, problems, and other information in order to provide the most appropriate care
Where should the student go to start the review? 1. The client's medical record
2. The medication administration record (MAR)
3. The written care plan
4. The Kardex
4. The Kardex
Rationale:
The Kardex is a concise method of organizing and recording data about a client, making information quickly accessible to all health professionals. The medical record contains the same information as the Kardex, but the complete medical record is lengthy and would take the student more time to review. The MAR includes only those medications that are prescribed or scheduled to be administered during the client's stay and does not include other information like diagnostic tests, daily cares, and so on. The written care plan may be included in the Kardex, or at least a portion of the care plan, but it would not be as inclusive as the Kardex.
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A. primary B. secondary C. tertiary D. restorative