The nurse is completing the charting after a patient suffered a fall.
Which statement is appropriate for the nurse to include in the description of the incident?
The patient probably urinated on the floor and slipped on the wet floor.
The patient was found on the floor, and his urinal was on the floor next to him.
The Correct Answer is B
Answer and explanation
The correct answer is Choice B.
Choice A rationale
Speculating about the cause of the fall ("probably urinated on the floor") is unprofessional and lacks factual basis. Charting should be objective and based on observed facts, not assumptions.
Choice B rationale
Documenting objective observations, such as finding the patient on the floor with the urinal nearby, provides a factual account of the incident without making assumptions or assigning blame. This allows for a more accurate analysis of potential contributing factors.
Choice C rationale
Commenting on the nurse assistant's work habits ("always took her time") is subjective, irrelevant to the fall incident itself, and unprofessional. Charting should focus on the patient and the event.
Choice D rationale
Describing the patient as "grouchy and inappropriate" is judgmental, subjective, and does not contribute to an understanding of the fall. Such personal opinions are inappropriate for medical documentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Using correction tape is inappropriate as it obscures the original entry, violating the principle of maintaining a clear and accurate audit trail. This makes it impossible to determine what the original error was and who made it, which is crucial for accountability and legal purposes in healthcare documentation.
Choice B rationale
Shredding the original forms and rewriting them is unacceptable because it completely eliminates the original record. This action could be interpreted as an attempt to conceal errors or misrepresent information, which carries significant legal and ethical implications in patient care documentation.
Choice C rationale
Blacking out the error with a thick marker obscures the original information, making it impossible to review the mistake and understand the context. This method does not allow for verification of the initial entry or tracking of the correction process, which is essential for maintaining accurate medical records.
Choice D rationale
Drawing a single line through the incorrect information, making the correction clearly beside it, and then initialing and dating the change maintains the integrity of the original record while indicating who made the correction and when. This method ensures transparency and accountability in documentation, adhering to legal and professional standards for error correction in medical charts.
Correct Answer is ["0.7"]
Explanation
Step 1 is: The desired dose is 7000 units and the available concentration is 10,000 units/mL.
Step 2 is: Divide the desired dose by the available concentration: 7000 units ÷ 10,000 units/mL = 0.7 mL. Final answer: The nurse will administer 0.7 mL.
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