A patient tells the nurse that he does not understand the information in his medical record because "it's all a bunch of letters and numbers that don't make sense.". Which of the following should the nurse do to help this patient?
1. Sit with the patient and translate the information.
2. Tell the patient that it is not important.
3. Explain to the patient that that is how health care professionals write and it is not for patients to read.
4. Tell the patient that it doesn't make sense to her either.
Sit with the patient and translate the information.
Rationale: Entries in the medical record should be done with approved terms and abbreviations. The nurse should be able to translate the information for the patient. The nurse should not tell the patient that the information is not important or tell the patient that that is how health care professionals document. The patient has the right to read and review his medical record. Telling the patient that the documentation does not make sense is not an appropriate response.
You might also like to view...
The client has had a fever for 3 days and has lost 7 pounds. Laboratory tests show the client's blood osmolarity to be 322 mOsm/L, with a blood sodium level of 148 mmol/L (mEq/L). What is the correct interpretation of this data?
A. Relative dehydration B. Isotonic dehydration C. Hypertonic dehydration D. Hypotonic dehydration
There are different methods of transportation of fluids and other molecules through the body. Based on this information, what would be the most accurate description for the nurse to share about osmosis?
A) Movement of molecules from an area of higher concentration to an area of lower concentration B) Most important mechanism by which nutrients and waste pass across the cell membrane C) Water moves from a hypotonic solution to a hypertonic solution D) Pressure exerted to start the flow of water across a membrane
What is the primary factor for the low survival rates for patients who are diagnosed with ovarian cancer?
a. Ovarian cancer develops in patients with underlying immunosuppression and poor health b. Ovarian cancer does not respond well to conventional radiation and chemo treatments c. Symptoms are mild and vague, therefore the cancer is often not detected until its late stage d. There are no specific diagnostic tests that can confirm or rule out ovarian cancer
The client diagnosed with hypertension develops a cold. Which information regarding over-the-counter medications should the nurse teach?
a) Try to find a medication that will not cause drowsiness b) Over-the-counter medications are more expensive than prescription c) Over-the-counter medications are not as effective as prescription d) Do not take over the counter medications unless approved by the health care provider