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 ["A","B","C"]

Explanation

A. Flushing with water before administering medications helps ensure the tube is clear and free from residual medications.
B. Flushing after each medication ensures the medication is delivered completely into the stomach and minimizes drug interactions.
C. Flushing after giving multiple medications helps clear the tube and prevents potential interactions between different medications.
D. Flushing before aspirating gastric contents helps ensure accurate assessment and prevents contamination of samples.
E. Flushing after administering a sublingual medication is not necessary for a gastrostomy tube, as it is specific to oral medication administration.

A. Constipation B. Skin rash C. Non productive cough D. Drowsiness E. Dry mouth

Correct Answer is ["A","D","E"]

Explanation

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse flush with water? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

Why is it necessary to flush a feeding tube with water between each medication administration?

A nurse is preparing to administer dexamethasone otic drops to an adult client who has an ear infection. Which of the following actions should the nurse take?

A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

18. A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

A nurse is preparing to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)