The nurse realizes that the wrong vital signs were recorded on a patient's chart.
How will the nurse correct this error?

Use correction tape to write over the incorrect information.

Shred the forms with the incorrect information and write on new ones.

Black out the error with a thick marker and enter the correct information.

Draw one line through the error, make the correction, and initial it.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

Choice A rationale

Client administered nitroglycerin is objective data because it is a documented action performed by the client and can be verified. Subjective data, on the other hand, comes from the client's perspective.

Choice B rationale

Client reports chest pain after mowing the lawn this morning is subjective data because it is a statement made by the client about their experience. It describes their feelings and circumstances as they perceive them.

Choice C rationale

Client's blood pressure is 182/98 mmHg is objective data because it is a measurable physiological parameter obtained through assessment. It is a factual finding that can be directly observed and recorded.

Choice D rationale

Client's skin is pale and diaphoretic is objective data because these are observable physical signs noted by the nurse during assessment. They are factual descriptions of the client's physical condition.

A. The nurse manager sets unit policies, conducts annual reviews, and disciplines the staff as needed. B. The nurse manager makes rounds on the unit every day to monitor for problems with patient care. C. The staff nurses work with the manager to review care options to prevent surgical site infections. D. The nurse manager conducts regular staff meetings to provide updates about new equipment and agency policies.

Correct Answer is C

Explanation

Choice A rationale

Centralized management involves top-down decision-making, where the nurse manager holds authority for policies, reviews, and disciplinary actions. This structure concentrates power and control at the managerial level, limiting staff input and autonomy in shaping unit operations and standards of practice.

Choice B rationale

Regularly monitoring patient care by making rounds is a supervisory function, ensuring adherence to established protocols and identifying immediate issues. While important for quality assurance, it doesn't inherently decentralize decision-making or empower staff in a collaborative manner.

Choice C rationale

Decentralized management empowers staff at lower levels to participate in decision-making processes. When staff nurses collaborate with the manager to review care options and implement preventive strategies, it distributes authority and fosters a sense of ownership and shared responsibility for patient outcomes.

Choice D rationale

Conducting regular staff meetings to disseminate information about new equipment and policies is a communication strategy that ensures staff are informed. However, it does not necessarily involve staff in the formulation or decision-making processes related to these changes, maintaining a more centralized approach.

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The nurse realizes that the wrong vital signs were recorded on a patient's chart.How will the nurse correct this error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The nurse realizes that the wrong vital signs were recorded on a patient's chart.
How will the nurse correct this error?