The nurse has just completed teaching the patient how to self-administer insulin injections.
Which entry in the patient’s chart demonstrates that the teaching was successful?

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. .

Choice A rationale

An incident report primarily focuses on documenting the facts of an event, not on preventing lawsuits. While a thorough report might indirectly help in legal defense by providing a clear record, its main purpose isn't legal protection. Legal strategies are separate from the incident reporting process.

Choice B rationale

Incident reports are crucial for a healthcare facility's quality improvement initiatives. By systematically documenting occurrences like patient falls, the hospital can analyze trends, identify potential risks and contributing factors, and implement strategies to prevent similar incidents in the future, thereby enhancing patient safety and care quality.

Choice C rationale

While incident reports from various units might be reviewed and compared as part of a broader quality improvement effort, the primary reason for completing an individual incident report is not solely for comparing fall rates between units. The immediate goal is to document the specific incident and identify local contributing factors.

Choice D rationale

Incident reports are designed to document events objectively. They are not primarily used as a basis for disciplinary action against a nurse. Disciplinary processes would involve a separate investigation to determine if negligence or policy violations occurred, based on various sources of information, not just the incident report.