A resident in a skilled nursing facility for a short term rehabilitation following a hip replacement says to the nurse, "I don't want to have you draw any more blood for those useless tests." When the nurse fails to convince the patient to have the blood drawn, the most appropriate documentation would be:
"Refuses to have blood drawn. Doctor notified."
Doctor notified of failure to draw ordered blood work.
"Blood not drawn because tests are no longer desired by patient."
"Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
The Correct Answer is D
A. "Refuses to have blood drawn. Doctor notified."
This option documents the patient's refusal but lacks specific information about the patient's reason for refusal, which is important for the care team to understand the context.
B. "Doctor notified of failure to draw ordered blood work."
This option focuses more on the failure to draw blood than on the patient's specific refusal and reasoning. It lacks information about the patient's perspective, which can be crucial for understanding their decision-making process.
C. "Blood not drawn because tests are no longer desired by the patient."
This choice provides a clear reason for not drawing blood (the patient's refusal) and includes the patient's perspective on the tests being 'useless.' However, it does not mention the action taken, such as informing the doctor, which is important for continuity of care.
D. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This option combines both the patient's refusal and their reason ('useless' tests) for refusing. Additionally, it includes the action taken, which is informing the doctor. This choice offers a comprehensive and informative description of the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is C
Explanation
A. Objective:
Objective data refers to measurable and observable information, often obtained through assessments, tests, or observations. It includes vital signs, laboratory results, physical examination findings, and other data that can be quantified and documented. For example, a blood pressure reading, a recorded temperature, or the observation of a patient's skin color are objective data points.
B. Unreliable:
Unreliable data refer to information that cannot be trusted or depended upon due to its inconsistency or lack of credibility. If a patient provides information that is conflicting, constantly changing, or not coherent, it might be considered unreliable. In healthcare, it's crucial for data to be reliable to ensure accurate diagnosis and treatment.
C. Subjective:
Subjective data are patient-reported information based on their own feelings, experiences, or opinions. This information cannot be measured or observed by others and is typically obtained through patient interviews. Symptoms like pain, headache, or nausea fall into the category of subjective data because they are felt and described by the patient but cannot be independently verified by the healthcare provider.
D. Historical:
Historical data pertain to a patient's past medical history, including previous illnesses, surgeries, allergies, medications, and family medical history. It provides context for the patient's current health status and aids healthcare providers in understanding the patient's overall health background.
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