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 ["117"]
Explanation
The total volume of the blood transfusion is 350 mL. The transfusion is to be administered over 3 hours.
To find the mL per hour, we'll divide the total volume by the total time:
Flowrate(mL/hr)=Totaltime(hr)Totalvolume(mL)
Flowrate(mL/hr)=3hr350mL
Flowrate(mL/hr)=116.666...mL/hr
Rounding to the nearest whole number, the nurse should set the IV pump to deliver 117 mL/hr.
Correct Answer is C
Explanation
A. While critical thinking supports good decisions, communication requires openness.
B. Perceptual biases hinder objective understanding.
C. An interest in different kinds of people fosters empathy, curiosity, and open communication—essential traits for effective nurse-patient interactions.
D. Psychomotor skills relate more to technical tasks than interpersonal communication.
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