A nurse is documenting client care. Which of the following abbreviations should the nurse use?

"OJ" for orange juice

"SS" for sliding scale

"SQ" for subcutaneous

"BRP" for bathroom privileges

Answer and Explanation

The Correct Answer is D

a. "OJ" for orange juice is not recommended. While it might seem straightforward, "OJ" could be confused with "oj" or other abbreviations, leading to potential confusion. It's better to write out "orange juice."

b. "SS" for sliding scale is not recommended" could be misinterpreted or confused with other meanings. It's safer to write out "sliding scale."

c. SQ is commonly mistaken as “5 every”. Use SUBQ (all UPPERCASE letters, without spaces or periods between letters), or subcutaneous(ly).

d. This is a commonly accepted abbreviation in medical documentation, meaning bathroom privileges.

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Correct Answer is A

Explanation

Choice A reason:
The client has expressed a lack of understanding about the procedure, which indicates that they may not have received sufficient information or clarification. It is important to notify the provider so they can ensure the client fully understands the procedure before giving informed consent.
Choice B reason:
The nurse should provide basic information and answer questions within their scope, but detailed explanations about the procedure are best provided by the provider who is performing the surgery.
Choice C reason:
While brochures can be helpful, they do not replace the need for direct, clear communication with the healthcare provider about the specific details of the surgery.
Choice D reason:
An incident report is not necessary in this context as the situation is related to informed consent and not an error or safety issue.

A. "Delirium has an abrupt onset." B. "Delirium does not affect a client's sleep cycle." C. "Delirium has a slow progression." D. "Delirium does not affect a client's perception of her environment."

Correct Answer is A

Explanation

Choice A reason:
Delirium is a sudden and acute change in mental status characterized by confusion, disorientation, altered consciousness, and other cognitive disturbances. It has an abrupt onset and is often related to an underlying medical condition, medication, or other factors such as infections or metabolic imbalances.
Choice B reason:
Delirium can indeed affect a client's sleep cycle. It often disrupts sleep patterns and can lead to sleep disturbances
Choice C reason:
Delirium does not have a slow progression. It is typically characterized by a rapid and fluctuating course, and it can develop over hours to days.
Choice D reason:
Delirium does affect a client's perception of their environment. Clients with delirium may experience hallucinations, paranoia, and other alterations in perception. They may be unable to accurately interpret or interact with their surroundings.

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A nurse is documenting client care. Which of the following abbreviations should the nurse use?

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