At 9:00 AM you taught a client about the importance of voiding into a collection hat in the bathroom toilet. At 11:00 AM you find the client removed the hat and voided directly into the toilet
Which of the following statements would be best in charting this failure to follow your directions? a. Uncooperative. Taught to void into collection hat and did not do so.
b. Voided directly into toilet. Did not use collection hat that was provided.
c. Exhibiting controlling behaviors. Refused to void in collection hat and voided into toilet; therefore, urine could not be measured.
d. Did not apparently understand instructions to void in collection hat. Voided into toilet.
B
Feedback
A Incorrect. Judgmental statement.
B Correct. A verbal description of what happened without stating a judgment.
C Incorrect. Labeling behavior, not proper for the medical chart.
D Incorrect. Attempt to explain what happened, not a simple description.
You might also like to view...
Glomerular colloid osmotic pressure promotes filtration
A) True B) False
Which should the nurse delegate to a nursing assistant?
1. Determine the client's current pain level. 2. Record the vital signs before ambulation. 3. Position a client with spinal cord trauma. 4. Assist client to ambulate with thick socks.
When palpating an individual, the part of the hand most sensitive to temperature changes is the:
a. back of the hand. b. fingertip pad. c. palm. d. inside of the wrist.
On the second postpartum day, a client complains of burning, urgency, and frequency of urination. A urinalysis is obtained, and the results indicate the presence of a urinary tract infec-tion
The nurse instructs the client regarding which measures to take for the prevention and treatment of the infection? Select all that apply. 1. Urinate frequently throughout the day. 2. Fluid intake should be increased to at least 3000 mL/day. 3. Prescribed medication must be taken until it is completed. 4. Foods and fluids that will increase urine alkalinity should be consumed. 5. Wipe the perineal area from front to back after urinating.