The practical nurse (PN) is charting vital signs on a hand-writen flow sheet and realizes that an error has been made. What should the PN do to rectify this error?
Obliterate the entry and insert the correct information
Draw one line through the entry and insert the correct information
Chart the correct information in the next column.
Notify the charge nurse that the entry needs to be revised
The Correct Answer is B
This is the correct way to correct an error on a hand-writen chart, according to the legal and ethical principles of documentation. The PN should also initial and date the correction.
Obliterating the entry or charting in the next column can create confusion and suspicion of tampering with the records. Notifying the charge nurse is not necessary unless the error has serious implications for the client's care or safety
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choiceB. Remove the warm compress.
Choice A rationale:
Turning the lights on in the room would likely exacerbate the resident’s photophobia (sensitivity to light), causing more discomfort.Photophobia is a common symptom of bacterial conjunctivitis, and keeping the room dim can help alleviate this discomfort.
Choice B rationale:
Removing the warm compress is the correct action. Warm compresses can sometimes be used to relieve symptoms of conjunctivitis, but they are generally more appropriate for viral or allergic conjunctivitis.In the case of bacterial conjunctivitis, warm compresses can potentially worsen the infection by providing a warm, moist environment that promotes bacterial growth.Instead, a cool compress is often recommended to reduce inflammation and discomfort.
Choice C rationale:
Elevating the head of the bed can help reduce swelling and promote drainage, but it is not directly related to the immediate relief of eye pain and photophobia in bacterial conjunctivitis.This action might be more relevant for conditions involving fluid retention or respiratory issues.
Choice D rationale:
Offering an oral analgesic could help manage the resident’s pain, but it does not address the underlying issue of the warm compress potentially worsening the bacterial infection.Pain management is important, but it should be combined with appropriate measures to treat the infection and alleviate symptoms.
Correct Answer is A
Explanation
A thready pulse is a weak and rapid pulse that is easily obliterated by light pressure. It indicates poor blood flow and perfusion and may be caused by conditions such as shock, dehydration, or hemorrhage.
The other options are not correct because:
B. A missing pulse is a pulse that is absent or cannot be detected, even with firm pressure. It indicates a complete blockage of blood flow, and may be caused by conditions such as arterial occlusion, embolism, or trauma.
C. Light pressure applied to pulse is not a documentation of the pulse quality, but a description of the technique used to palpate the pulse.
D. Pulse skips beats is a documentation of an irregular pulse rhythm, not a pulse volume. It indicates that the heart beats are unevenly spaced, and may be caused by conditions such as arrhythmia, stress, or caffeine intake.
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