A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

I&O

q.d

PRN

Answer and Explanation

Correct Answer : A,C,D

A.   This abbreviation can be misinterpreted as "units," "cc," or "you." It is recommended to avoid its use to prevent misinterpretation.
B.   This abbreviation stands for intake and output, which is commonly used in healthcare documentation and is not on The Joint Commission's Do Not Use list.
C.   IU can be mistaken for intravenous or international unit.

D. This abbreviation stands for once daily and is prone to misinterpretation, as it can be mistaken for qid (four times daily). It is recommended to avoid its use to prevent dosing errors.
E. This abbreviation stands for pro re nata, indicating "as needed" medication administration, and is not on The Joint Commission's Do Not Use list.

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Correct Answer is B

Explanation

A. Active bleeding with significant blood is characterized by weak and thread pulses and not bounding pulses.
B. Restlessness can be a sign of hypovolemia and decreased tissue perfusion, which may occur with active bleeding.
C. Warm skin may not necessarily indicate active bleeding but rather normal thermoregulation or vasodilation.
D. Brisk capillary refill is a sign of adequate peripheral perfusion and is not typically associated with active bleeding which is characterized by delayed capillary refill.

A. The client drinks their thickened juice with a straw. B. The client takes frequent breaks while eating. C. The client adjusts the head of their bed to 90". D. The client tucks their chin when they swallow.

Correct Answer is A

Explanation

A. Using a straw can increase the risk of aspiration for clients with dysphagia; thickened liquids should be consumed from a cup.
B. Taking breaks during meals can aid in swallowing and reduce the risk of aspiration.
C. Elevating the head of the bed to 90° helps prevent aspiration during swallowing.

D. Tucking the chin can help close off the airway during swallowing, reducing the risk of aspiration.

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A nurse is preparing to document in the client's medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility's Do Not Use list? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?

Correct Answer is B

Explanation

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

Correct Answer is A

Explanation

A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

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A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

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