A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

A medical record can be used as evidence in a court of law

A nurse should ensure the documentation is organized and completed in a timely fashion

Documentation should include the nurse's interpretation of the client situation

Data contained in a client's medical record can be shared with all employees within a health care facility

Information recorded in the client's medical record must be accurate and complete.

Answer and Explanation

Correct Answer : A,B,E

A. A medical record can indeed be used as evidence in a court of law to support or refute claims related to patient care.
B. Documentation should be organized and timely to ensure accuracy and continuity of care.
C. Documentation should not include the nurse's interpretation but rather objective data and actions taken.
D. Data in a client's medical record should only be shared with those directly involved in the client's care unless otherwise authorized.
E. Information recorded in the client's medical record must be accurate and complete to support safe and effective client care and legal purposes.

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Correct Answer is ["22.5"]

Explanation

To administer the correct dose of potassium chloride, which is 30 mEq, when the available solution is 20 mEq in 15 mL, the nurse needs to calculate the volume of the solution to provide the required mEq. The calculation is as follows: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.

A. Fill out an incident report. B. Notify the charge nurse. C. Check the client's vital signs. D. Document the client's condition in the electronic medical record.

Correct Answer is C

Explanation

A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.

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A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

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Naxlex Comprehensive Predictor Exams

23. A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["22.5"]

Explanation

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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