The nurse maintains accurate documentation in order to support which of the following purposes of client records?
1. A written or computer-based communication to others
2. A formal, legal document that provides evidence of client care
3. An informal collection of information for others to share
4. A formal, computer-based record of the client
2
Rationale: The client record is a formal, legal document of client care. A written or computer-based communication to others is a form of report. The client's legal chart is not informal and is not always computer-based. Many agencies still rely on the written chart.
You might also like to view...
A nurse prepares to administer 12 mg/kg of 5-fluorouracil chemotherapy intravenously to a client who has colon cancer. The client weights 132 lb. How many milligrams should the nurse administer?
(Record your answer using a whole number.) _____ mg
A nurse is reviewing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as prehypertensive?
A) 112/72 mm Hg B) 128/86 mm Hg C) 144/92 mm Hg D) 164/102 mm Hg
A client with elevated serum cholesterol has been placed on simvastatin (Zocor). The client asks a nurse how this drug will help lower cholesterol levels. What is the nurse's best re-sponse?
A. "This drug lowers LDL and triglyceride levels." B. "This drug lowers HDL and triglyceride levels." C. "This drug elevates LDL levels as it decreases triglyceride levels." D. "This drug elevates HDL levels as it increases triglyceride levels."
A clinic nurse is planning to teach a group of clients procedures for administering their own medications. The two types of objectives the nurse will use to help clarify learning include which of the following?
a. Behavioral and terminal c. Cognitive and terminal b. Affective and sequencing d. Terminal and enabling