Nurses are legally required to document medications administered to patients. The nurse is mandated to document which of the following? Select all that apply

A. Medication after giving it
B. Medication before giving it
C. Rationale for giving a questionable incorrect dosage
D. Prescriber's intention for prescribing the medication


A, B
Accurate and appropriate documentation must occur before and after giving medications. Before administering the medication, documentation indicates the patient's full name, name of ordered medication, time of administration, dose, route, and frequency. After the medication is administered, document it on the medication administration record and document responses (positive, negative) in the nursing notes.

Nursing

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Many clients have misconceptions regarding assessment and treatment of pain. Which statement by the client indicates the need for additional clarification?

1. "If I don't report pain, it does not necessarily mean that I don't have any pain." 2. "I can have a back rub and think of relaxing thoughts to help decrease the amount of medication I take for pain." 3. "The best judge of the existence and severity of pain is the nurse who is taking care of me." 4. "I will be asked to rate my pain on a predetermined scale."

Nursing

A nurse has determined that a patient's pain is acute and plans to administer pain medication. Which of the following are signs and symptoms of acute pain on which the nurse may have based her decision? Select all that apply

1. Dilated pupils 2. Constricted pupils 3. Syncope 4. Increased heart rate 5. Reduced attention span

Nursing

During defecation, the client experiences decreased cardiac output related to the Valsalva maneuver. After the Valsalva maneuver, the nurse assesses the client's vital signs and expects to observe which of the following?

A) An increase in the client's blood pressure B) A decrease in the client's blood pressure C) An increase in the client's respiratory rate D) A decrease in the client's respiratory rate

Nursing

A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?

a. "America's first trained nurse reduced student nurses' working hours." b. "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams." c. "America's first trained nurse worked to create associate degree programs." d. "America's first trained nurse was Linda Richards."

Nursing