The nursing assistant tells the RN that when the patient's vital signs were taken, the patient complained that she was in a lot of pain
The nursing assistant then tells the nurse that she charted the patient's complaint when she charted the vital signs. What instruction does the nurse need to provide to the nursing assistant?
a. The nursing assistant needs to make sure she uses the SBAR format when entering notes.
b. Nursing assistants are not allowed to chart vital signs.
c. Only the nurse can write in the progress notes.
d. The nursing assistant needs to write using blue ink to distinguish from the RN note.
C
The task of writing a progress note may not be delegated to nursing assistive personnel (NAP). The nurse instructs the NAP about what repetitive care activities should be documented on flow sheets, including vital signs, intake and output (I&O), and routine care related to ADLs.
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The nurse is caring for a client who denies having pain. The nurse notices the client grimacing and clenching his teeth when moving
The client's spouse has asked the nurse why some people deny obvious pain. Which response by the nurse is most appropriate? 1. "You should try to find out why your husband is denying the pain." 2. "Have you talked to the healthcare provider about this?" 3. "Some people feel reporting their pain is a sign of weakness." 4. "Maybe we are wrong and pain is not really bad."
A client is seen in the 24-hour drug clinic. She's thin, tense, jittery, and has dilated pupils and bad
breath. She tells the nurse "I have been speeding, and now I am burning up and need help.". She permits an oral temperature to be taken (it is 104° F), but then becomes suspicious and moves away from staff, refusing to allow further examination. She states, "You could be trying to kill me.". The assessment that can be made is the client is most likely under the influence of a. PCP. b. heroin. c. barbiturates. d. amphetamines.
Compliance with directly observed therapy can be increased by:
1. Convenient clinic times 2. Incentives such as food, clothing, and transportation costs 3. Offering gifts for compliance 4. All of the above
The nurse is teaching about the need for vitamin D in the body. The nurse would put these steps of vitamin D activation and action in which order?
1. Calcium absorption is increased in the small intestine 2. Calcifediol is formed 3. Dietary products are consumed 4. Calcitriol is formed 5. Cholecalciferol is synthesized