After completing daily charting at 1400, the nurse realizes that a 0900 occurrence was not entered. Which is the best way for the nurse to enter computer documentation of the 0900 occurrence?
Enter the occurrence after the 1400 notes and identify as "late entry".
Request removal initiated by the Health Information Manager.
Create an electronic correction after 1400 notes are officially unlocked.
Make an electronic addendum following the 1400 documentation.
The Correct Answer is D
A. Enter the occurrence after the 1400 notes and identify as "late entry":
While entering the occurrence after the 1400 notes is an option, labeling it as a "late entry" may not provide sufficient clarity regarding the timing of the documentation. Using a "late entry" label could potentially lead to confusion or misinterpretation.
B. Request removal initiated by the Health Information Manager:
Requesting removal of the 1400 notes by the Health Information Manager is not necessary in this scenario. The focus should be on accurately documenting the missed occurrence rather than removing previously entered documentation.
C. Create an electronic correction after 1400 notes are officially unlocked:
Making an electronic correction implies that there was an error in the original documentation. Since the issue here is not correcting an error but rather adding missed documentation, creating a correction may not be appropriate.
D. Make an electronic addendum following the 1400 documentation:
An electronic addendum allows the nurse to add additional information to the chart without altering the original entry. This approach maintains the integrity of the original documentation while clearly indicating that the 0900 occurrence was added after the fact. It's important to ensure that the addendum clearly identifies the timing of the documentation to maintain accuracy and transparency in the medical record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. How many popsicles are available.
This information might be helpful for logistical purposes or to assess how much the child has consumed, but it's not directly relevant to ensuring the appropriateness of the popsicles for a clear liquid diet.
B. If the popsicles are completely frozen.
While it's important that popsicles are properly frozen to avoid potential choking hazards, this does not address whether the popsicles meet the dietary requirement of clear liquids.
C. The color and flavor of gelatin used.
While this might be of interest, the key concern is whether the popsicles contain any non-clear components like fruit or pulp.
D. Whether they contain pulp or fruit.
For a child who needs clear liquids, it is important to ensure that the popsicles do not contain any solids like fruit or pulp. Clear liquids are meant to be easily digestible and not irritate the stomach further. Popsicles with pulp or fruit can be too heavy and might not be appropriate in this situation.
Correct Answer is ["0.5"]
Explanation
To find out how many milliliters the nurse should administer, we first need to calculate the volume required to deliver 200 mg of streptomycin.
Given:
Streptomycin concentration: 1 gram/2.5 mL
Dose prescribed: 200 mg
We'll start by converting the dose prescribed from milligrams (mg) to grams (g) since the concentration is given in grams:
200 mg = 0.2 grams
Now, we can set up a proportion to find the volume (x) needed to deliver 0.2 grams of streptomycin:
1 gram / 2.5 mL = 0.2 grams / x
Cross-multiplying:
1 * x = 0.2 * 2.5
x = 0.5 mL
So, the nurse should administer 0.5 milliliters of streptomycin.
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