A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Client care Kardex

Standardized care plan

I&O record

Medication administration record

Answer and Explanation

The Correct Answer is A

A.   Client care Kardex: The Kardex provides a concise, comprehensive overview of the client's care needs, treatments, and status.
B.   Standardized care plan: These are generalized and do not provide client-specific information.
C.   I&O record: This record focuses solely on fluid intake and output and lacks comprehensive client details.
D.   Medication administration record: This record provides details about medications but does not offer a complete picture of the client's care.

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Correct Answer is D

Explanation

A. Makes reference in the nurses' notes of completing an incident report. Incident reports are internal documents and should not be referenced in the client's medical record.
B. Documents that the provider wrote an inaccurate prescription. Documentation should focus on facts, not subjective judgments. Notify the provider instead.
C. Remains logged in to the charting system throughout the shift. Leaving the system open poses a risk for a breach of confidentiality.
D. Includes quotes from the client. Documenting direct quotes ensures accurate representation of the client's statements.

A. Close the door to the client's room. B. Activate the alarm outside the client's room. C. Use a Class A fire extinguisher to contain the fire. D. Turn off electrical equipment in the client's room.

Correct Answer is B

Explanation

A. Close the door to the client's room: This helps contain the fire and prevents smoke from spreading, but it should not be the immediate action after client removal.
B. Activate the alarm outside the client's room: Activating the alarm is critical after ensuring the client's safety, as it alerts the facility to the emergency and mobilizes response teams.
C. Use a Class A fire extinguisher to contain the fire: The type of extinguisher used depends on the fire classification. Attempting to extinguish a fire should occur only after the alarm is activated.
D. Turn off electrical equipment in the client's room: While turning off electrical equipment can reduce fire hazards, it is not the next priority after removing the client.

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A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing the computer documentation of a newly licensed nurse. Which of the following practices by the newly licensed nurse should the charge nurse identify as appropriate documentation practice?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with staff members about the protocol for extinguishing a fire in a trash can in a client's room. After removing the client from the room, which of the following actions should the nurse instruct the staff members to take next?

Correct Answer is B

Explanation

A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?

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