A nurse is caring for a client in a healthcare facility. The nurse has to document
information to maintain the health record of the client. Which description is required
consistently for each charting entry?
A) Report each observation to the physician.
B) Sign the record with first initial, last name, and classification.
C) Obtain a signature from the physician.
D) Provide the day of the week on the entry.
B
You might also like to view...
A young adult with a severe episode of asthma bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the admission assessment,
she notes that the patient is not able to say where she is or the time. Which nursing diagnosis is probably most suitable for this patient? a. Chronic Confusion b. Acute Confusion c. Impaired Verbal Communication d. Readiness for Enhanced Communication
A patient has had a cardiac catheterization. Following the procedure, the nurse's efforts are aimed at preventing and detecting which common problems?
a. chills and fever c. diuresis and dehydration b. clotting and bleeding d. muscle spasm and joint pain
Persons who consume ethnic foods emphasizing corn but containing limited protein should be assessed carefully for adequacy of ______ intake
1. Folic acid 2. Niacin 3. Riboflavin 4. Thiamin
Compute the amount of medication that will be given to administer one dose of the following medication orders. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal numbers
? The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medications, and other factors. Ordered: Demerol 75 mg IM q.6h p.r.n, pain Supply: Meperidine HCl injection 100 mg/mL Give: __________ mL Fill in the blank(s) with correct word