A nurse who was present at the time of the death of a patient should document:

time of death.

which family members were notified.

notification of the mortuary.

time at which life signs ceased.

Answer and Explanation

The Correct Answer is A

A. Time of death: The time of death is a crucial detail that needs to be accurately documented. It provides an official record of when life ceased and is necessary for legal and medical purposes.

B. Which family members were notified: While it's important to notify family members, documenting the specific individuals who were informed is not required unless it directly affects the care or legal processes.

C. Notification of the mortuary: While the notification of the mortuary is part of the post-death process, it typically falls under hospital procedures and would be documented by other departments. The nurse's role is more focused on clinical documentation at the time of death.

D. Time at which life signs ceased: The cessation of life signs, such as heart rate and respiration, is often recorded, but the time of death is the official documentation required. The time of death is typically used as the legal record.

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Correct Answer is C

Explanation

A. Making an entry in the primary care provider progress notes: This is not the appropriate place to document returned belongings.

B. Asking the unit secretary to place a note in the chart: Documentation must be done by the nurse responsible for returning the items.

C. Having the patient sign for them as per policy. Documenting with the patient’s signature provides a clear record that the items were returned and received by the patient, as per hospital policy.

D. Writing a note to the charge nurse: This does not create an official record of the return.

A. Stabilize the holder when changing tubes. B. Withdraw the holder and tube at the same time. C. Replace the tube stopper firmly for each sample. D. Release the tourniquet after successful venipuncture.

Correct Answer is A

Explanation

A. Stabilize the holder when changing tubes. Stabilizing the holder prevents accidental movement of the needle, ensuring proper blood flow into the tube and minimizing discomfort or injury to the patient.

B. Withdraw the holder and tube at the same time: The holder should remain in place until all samples are collected to prevent repeated venipunctures.

C. Replace the tube stopper firmly for each sample: The tube stopper should not be removed or replaced during the procedure.

D. Release the tourniquet after successful venipuncture: The tourniquet should be released after blood flow is established and before the needle is withdrawn, not as the first priority.

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A nurse who was present at the time of the death of a patient should document:

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Naxlex Comprehensive Predictor Exams

A patient who is scheduled for discharge has items that were stored in the hospital safe. After retrieving them, the nurse should document their return to the patient by:

Correct Answer is C

Explanation

When collecting a blood sample with a Vacutainer system, it is important to:

Correct Answer is A

Explanation

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