A nurse is documenting information related to a client's condition. When documenting this information in the paper chart, the nurse makes an error documenting vital signs, entering 86/132. What is the best technique for recording the error made in documentation?
Cross out 86/132 using a single line
Cross out 68/132 with correction fluid to obliterate what has been written
Erase the incorrect statement and replace it with the correct one
Cross out the wrong statement in a way that is not readable
The Correct Answer is A
A. Cross out 86/132 using a single line: The correct way to correct an error in paper documentation is to draw a single line through the incorrect entry so that it remains legible. The nurse should then write the correct information nearby, initial it, and include the date and time of the correction.
B. Cross out 68/132 with correction fluid to obliterate what has been written: Using correction fluid is not acceptable in legal or medical records. It obscures the original entry, which violates documentation standards and can raise concerns about record tampering.
C. Erase the incorrect statement and replace it with the correct one: Erasing chart entries is prohibited, as it removes the original data completely. This action compromises the integrity and traceability of medical documentation.
D. Cross out the wrong statement in a way that is not readable: Making the incorrect entry unreadable is improper, as it prevents verification of the original documentation. All corrections must be transparent and legible to maintain legal and professional standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4","500"]
Explanation
Convert the client's weight from pounds (lb) to kilograms (kg)
Weight in kg = 165 lb / 2.2 lb/kg
= 75 kg
Maximum Daily Dosage:
Maximum daily dosage = 75 kg ´ 60 mg/kg/day
= 4,500 mg/day
Correct Answer is A
Explanation
A. Call the physician to get a hold order for the Metoprolol: A heart rate of 56 bpm may indicate bradycardia, which is a common contraindication to administering beta blockers like Metoprolol. The nurse should notify the physician before giving the medication.
B. Skip the dose and re-assess the patient's heart rate in 4 hours: Skipping medication without provider approval is unsafe. Re-assessment alone does not address the potential risk of bradycardia.
C. Administer the medication as ordered: Administering Metoprolol with a low heart rate risks worsening bradycardia and causing adverse effects such as dizziness or syncope. This can compromise cardiac output and patient safety.
D. Call the physician to get an order for Lasix: Lasix is a diuretic unrelated to heart rate management and is not appropriate in this situation. It does not address the bradycardia or the effects of Metoprolol on heart rate.
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