The nurse makes an error while documenting in the client's chart. The nurse should:
draw a straight line through the error with a black ink pen and initial it.
use a permanent marker to draw a line through the error and write "mistaken entry".
cover the mistake with correction fluid and skip a line.
erase the error and write the correct information.
The Correct Answer is A
A. Draw a straight line through the error with a black ink pen and initial it: This is the correct action to take when making an error while documenting in the client's chart. Drawing a single line through the error with a black ink pen ensures that the original information remains visible for auditing purposes. The nurse should then write the correct information above or adjacent to the error, initial the correction, and include the date and time. This method maintains the integrity of the documentation while clearly indicating that an error was made and corrected.
B. Use a permanent marker to draw a line through the error and write "mistaken entry": Using a permanent marker is not appropriate because it can make the chart difficult to read and may obscure the original information. Additionally, writing "mistaken entry" does not provide sufficient clarification regarding the nature of the error or the correction made.
C. Cover the mistake with correction fluid and skip a line: Using correction fluid to cover the mistake is not recommended because it can make the chart appear altered or tampered with. Skipping a line does not adequately address the error and correction, and it may lead to confusion when reviewing the documentation.
D. Erase the error and write the correct information: Erasures are not recommended in documentation as they can be perceived as altering or tampering with the chart. Additionally, erasing information may not completely remove it from the chart, and it may still be legible under certain lighting conditions or with the use of special equipment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. White meats and breads: While white meats and breads may be part of a balanced diet, they do not contribute significant amounts of dietary fiber. White bread, in particular, is often lower in fiber compared to whole grain varieties.
B. Red meats and milk: Red meats and milk are good sources of protein and calcium but do not provide significant amounts of dietary fiber. While milk products contain some lactose, a type of sugar that may have a mild laxative effect in some individuals, they are not considered primary sources of fiber.
C. Fats and bran: While bran is a good source of dietary fiber, consuming excessive amounts of fats is not recommended for promoting regular bowel movements. While some fats may be necessary in the diet, they should be consumed in moderation.
D. Fruits and vegetables: This is the correct answer. Fruits and vegetables are rich sources of dietary fiber, including both soluble and insoluble fiber. Soluble fiber helps soften stools, while insoluble fiber adds bulk to the stool, facilitating easier defecation. Including a variety of fruits and vegetables in the diet can significantly increase fiber intake and promote regular bowel movements.
Correct Answer is ["B","C","D"]
Explanation
A. Administering diuretics as ordered: This option is not appropriate for dehydration management. Diuretics are medications that increase urine output and are typically used to treat fluid overload rather than dehydration. Administering diuretics to a dehydrated client could exacerbate fluid loss and worsen the condition.
B. Providing good skin and mouth care: This is a suitable intervention for managing dehydration. Dehydration can lead to dry skin and mucous membranes. Providing good skin care, including moisturizing, can help prevent skin breakdown. Additionally, ensuring adequate oral hygiene and providing moist mouth swabs can alleviate discomfort associated with dry mouth.
C. Monitoring intake and output: This is an essential nursing intervention for managing dehydration. Monitoring the client's fluid intake and output allows the nurse to assess the balance between fluid intake and loss. Decreased urine output is a common sign of dehydration, while monitoring intake helps ensure the client is receiving adequate fluids.
D. Obtaining daily weights: This is an appropriate nursing intervention for managing dehydration. Daily weights can help assess changes in fluid balance. A sudden increase in weight may indicate fluid retention, while a decrease may indicate ongoing fluid loss, both of which are important to monitor in dehydration.
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