The documentation that reflects implementation is:
Patient will ambulate for 15 minutes after lunch.
Patient selected low-sugar snacks independently.
Patient was medicated with Tylenol 500 mg PO for pain.
Patient participated in group therapy session without prompting.
The Correct Answer is C
Choice A rationale
"Patient will ambulate for 15 minutes after lunch" is a planned nursing intervention or goal, outlining a future action for the patient. It describes what is expected to happen, not what has already been implemented and documented.
Choice B rationale
"Patient selected low-sugar snacks independently" describes an observation of the patient's behavior and adherence to a dietary plan. While it reflects an action, it doesn't explicitly document a direct nursing intervention performed.
Choice C rationale
"Patient was medicated with Tylenol 500 mg PO for pain" clearly documents the implementation of a specific nursing intervention – the administration of medication. It states what was done, including the drug, dosage, route, and reason.
Choice D rationale
"Patient participated in group therapy session without prompting" describes the patient's participation in a therapeutic activity. While nurses may facilitate or encourage participation, this statement focuses on the patient's action rather than a direct nursing intervention performed on the patient. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While electronic medical records (EMRs) improve legibility by using standardized digital text, they do not entirely eliminate the need to interpret physician notes or potential data entry errors. Clinicians still input information, and nuances in terminology or abbreviations can require careful review. EMRs primarily address the issue of illegible handwriting associated with paper-based records.
Choice B rationale
Electronic medical record systems streamline documentation processes by offering templates, drop-down menus, and the ability to copy forward information. This reduces the need for repetitive manual charting, freeing up nurses' time for direct patient care and other essential tasks. Efficient data entry and retrieval contribute significantly to time savings in documentation.
Choice C rationale
Password management is a security feature of computer systems, including EMRs, and often requires periodic changes to protect patient data. Implementing a new EMR system does not typically eliminate the need for password changes; in fact, it might introduce new password protocols. Security protocols necessitate regular password updates to maintain data integrity and confidentiality.
Choice D rationale
Accessing a family member's medical record violates patient privacy and confidentiality regulations, such as HIPAA. Nurses should only access records of patients for whom they are directly providing care. Viewing a son's medical record without a professional need is an ethical and legal breach of patient confidentiality.
Correct Answer is A
Explanation
Choice A rationale
To convert 12: am to military time, for any time between 12: am and 12: am, the 12 is replaced with 00. Therefore, 12: am becomes 0018 in military time.
Choice B rationale
2418 is not a valid representation of time in either standard or military format. Military time ranges from 0000 to 2359.
Choice C rationale
1218 in military time represents 12: pm in standard time, not 12: am. In the afternoon and evening, 12 is added to the standard hour to convert to military time (e.g., 1 pm is 1300).
Choice D rationale
0118 in military time represents 1: am in standard time. The hour remains the same for times between 1: am and 9: am, with a leading zero added to the hour. .
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