A nurse has provided care to a patient. Which entry should the nurse document in the patient's record?
Left knee incision 1 inch in length without redness, drainage, or edema.
Patient is hard to care for and refuses all treatments and medications. Family is present.
Status unchanged, doing well.
Patient seems to be in pain and states, "I feel uncomfortable."
The Correct Answer is A
A. Provides objective, specific, and measurable data. Meets legal and professional documentation standards.
B. Subjective, non-therapeutic, and judgmental; inappropriate for a legal document.
C. Vague and lacks detail; "doing well" is nonspecific.
D. "Seems to be" is vague. Better to document verbatim statements and objective observations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Toddlers have limited attention spans and understanding, so discussions are not an effective teaching method.
B. Wrapping a bandage around a stuffed animal's ear provides a visual and hands-on demonstration that is more suited to a toddler's developmental stage.
C. Problem-solving scenarios are more appropriate for older children who can think abstractly.
D. Independent learning is not suitable for toddlers, as they rely on caregivers and adults to provide guidance and direct learning.
Correct Answer is ["0.8"]
Explanation
To determine the correct volume to administer:
Volumetoadminister(mL) = Prescribeddose(units)/ Availableconcentration(units/mL)
= 4000 units/ 5000 units/mL
= 0.8 mL
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