On what form/forms should the nurse chart when administering a narcotic?

Physician's Order Sheet

Narcotic Administration Sheet

Care Plan

MAR and Narcotic Administration Sheet

Answer and Explanation

The Correct Answer is D

A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.

B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.

C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.

D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.

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Correct Answer is D

Explanation

A. The patient's friends: While family and friends can provide secondary information, they are not the primary source of assessment data.

B. Past medical records: Past records can provide valuable history, but they do not replace real-time data from the patient.

C. The patient's record: The medical record is a collection of past documentation but is not a source of new assessment data.

D. The patient: The patient is the primary source of assessment data, as they provide information about their symptoms, medical history, and concerns.

A. Assistive personnel reports the patient walks with a limp B. Patient reports pain level as 3 on a scale of 1 to 10 C. Heart rate 72 beats per minute D. Respiratory rate 22 per minute with even unlabored respirations E. Coughed up 5 mL yellow sputum F. Headache in frontal area

Correct Answer is ["C","D","E"]

Explanation

A. Assistive personnel reports the patient walks with a limp: This is secondhand information (reported by UAP), not directly observed by the nurse.

B. Patient reports pain level as 3 on a scale of 1 to 10: Pain is subjective data because it is based on the patient's self-report.

C. Heart rate 72 beats per minute: Heart rate is measured by the nurse, making it objective data.

D. Respiratory rate 22 per minute with even unlabored respirations: The nurse directly observes and measures respiratory rate, making it objective data.

E. Coughed up 5 mL yellow sputum: The nurse can observe and quantify the sputum (color and volume), making it objective data.

F. Headache in frontal area: A headache is subjective data because only the patient can describe it.

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On what form/forms should the nurse chart when administering a narcotic?

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Naxlex Comprehensive Predictor Exams

The primary source of assessment information is:

Correct Answer is D

Explanation

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

Correct Answer is ["C","D","E"]

Explanation

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

JCAHO regulates standards of care to:

Who should document care in the patient record?

Identify the two primary methods used to collect data:

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Clarify the primary purpose of nursing orders:

On what form/forms should the nurse chart when administering a narcotic?