A mistake is made while recording the client's medical record. The nurse should:
A. Scratch out the error and rewrite the notation
B. Use correction fluid and write over the error
C. Discard the page and replace the notations on a new sheet
D. Draw a line through the error, write the correct notation above it, and initial the correction
D
D. Draw a single line through the error, write the word "error" above it, and sign your name or initials. Then record note correctly. Check agency policy.
A. Do not scratch out errors. Charting becomes illegible.
B. The nurse should never erase entries or use correction fluid and should never use a pencil. The use of correction fluid could make the charting become illegible, and it may appear as if the nurse were attempting to hide something or to deface the record.
C. Because the record is a legal document, you would not destroy part of the record. It is also possible that you are destroying another nurse's record.
You might also like to view...
A nurse is seeing a patient with diabetes who reports that she thinks her diabetes is worse. She is feeling tired all the time, has difficulty enjoying things, and has problems concentrating and sleeping. What should the nurse consider in her assessment?
1. The patient may have social phobia. 2. The patient may have panic disorder. 3. The patient may have bipolar disorder. 4. The patient may have depression.
You are caring for a patient whose laboratory studies show that the patient is hypocalcemic. When the nurse analyzes the other laboratory studies, the nurse will expect the results to reveal what?
A) An elevated parathyroid hormone level B) A decreased parathyroid hormone level C) An elevated potassium level D) A decreased potassium level
The nurse is teaching a patient about dietary implications while on warfarin (Coumadin) therapy. Which salad is highest in vitamin K?
a. Fruit b. Pasta c. Potato d. Spinach
If an opioid antagonist is administered to a laboring woman, she should be told that:
a. Her pain will decrease. b. Her pain will return. c. She will feel less anxious. d. She will no longer feel the urge to push.