A nurse is documenting a client’s admission assessment using a flow sheet.
Which of the following information should be included in a flow sheet?
(Select all that apply.).
Vital signs.
Allergies.
Medication administration.
Medical history.
Intake and output.
Correct Answer : A,B,C,E
A flow sheet is a type of document that records routine and frequent data in a graphical or tabular form. It is used to monitor and evaluate the patient’s condition and response to treatment over time. A flow sheet should include information that is relevant, concise and easy to read.
• Choice A is correct because vital signs are one of the most common and important data that need to be recorded and monitored regularly for any patient.
• Choice B is correct because allergies are essential information that can affect the patient’s treatment plan and prevent adverse reactions.
• Choice C is correct because medication administration is another crucial data that shows what drugs, doses, routes and times the patient has received or will receive.
• Choice D is wrong because medical history is not a routine or frequent data that needs to be recorded in a flow sheet. Medical history is usually documented in a separate form that provides more details and background information about the patient’s past and present health conditions.
• Choice E is correct because intake and output are important data that indicate the patient’s fluid balance and renal function.
They need to be recorded and monitored regularly, especially for patients who have fluid restrictions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
A flow sheet is a type of document that recordsroutineandfrequentdata in agraphicalortabularform.It is used tomonitorandevaluatethe patient’s condition and response to treatment over time.A flow sheet should include information that isrelevant,conciseandeasy to read.
• Choice A is correct because vital signs are one of the most common and important data that need to be recorded and monitored regularly for any patient.
• Choice B is correct because allergies are essential information that can affect the patient’s treatment plan and prevent adverse reactions.
• Choice C is correct because medication administration is another crucial data that shows what drugs, doses, routes and times the patient has received or will receive.
• Choice D is wrong because medical history is not a routine or frequent data that needs to be recorded in a flow sheet.Medical history is usually documented in a separate form that provides more details and background information about the patient’s past and present health conditions.
• Choice E is correct because intake and output are important data that indicate the patient’s fluid balance and renal function.
They need to be recorded and monitored regularly, especially for patients who have fluid restrictions.
Correct Answer is ["A","B"]
Explanation
Kardexes and flow sheets are types of records that are used for documenting concise data about a client and making information quickly accessible to all health professionals.Kardexes are a series of cards kept in a portable index file or on computer generated forms that contain a problem list, stated goals and list of nursing approaches to meet the goals.Flow sheets are forms that allow for recording routine aspects of care such as vital signs, intake and output, medications, etc.
Choice C is wrong because progress notes are not concise, but rather narrative descriptions of the client’s condition, interventions and outcomes.Choice D is wrong because nursing discharge summaries are not used for quick access, but rather for providing information about the client’s hospitalization, treatment and follow-up care.Choice E is wrong because care plan conferences are not records, but meetings where health professionals discuss the client’s needs, goals and progress.
Normal ranges for vital signs are as follows:.
• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F).
• Pulse: 60 to 100 beats per minute.
• Respiration: 12 to 20 breaths per minute.
• Blood pressure: less than 120/80 mmHg.
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