A new nursing graduate has made an error in documentation that led to an unexpected client outcome. When aiming to avoid future errors, which action should the nurse prioritize?
Ensure charting entries are as concise as possible
Prioritize subjectivity over objectivity in documentation
Provide the greatest amount of detail possible in every charting entry
Complete documentation as soon as possible after client interactions
The Correct Answer is D
A. While concise documentation is valuable, being overly brief can lead to omission of important information.
B. Documentation should be objective, focusing on facts and observable data rather than subjective impressions.
C. Providing excessive detail can clutter the record and make it harder to identify critical information; relevance and clarity are more important than sheer volume.
D. Completing documentation as soon as possible after client interactions helps ensure accuracy and completeness. Timely documentation reduces the risk of forgetting important details and helps maintain continuity of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The nurse should never delete or ignore a provider’s order without proper communication and documentation.
B. The nurse must insist on reading back the order to ensure accuracy and client safety, even if the provider is impatient. This is a standard safety protocol to prevent errors.
C. Proceeding without read-back risks misunderstanding the order, which could harm the client.
D. Asking the secretary to take the order bypasses the nurse’s professional responsibility and does not guarantee safe communication.
Correct Answer is A
Explanation
A. Diuretics increase urine output, which can lead to decreased fluid volume (dehydration) and electrolyte imbalances. Teaching the client to monitor fluid intake and signs of dehydration is important.
B. Diuretics do not cause altered urinary elimination in the sense of retention; they actually increase elimination.
C. Altered skin integrity is not a direct concern related to diuretic use.
D. Urinary retention is unlikely with diuretic therapy, which promotes increased urine output.
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