The primary source of assessment information is:
the patient's friends
past medical records
the patient's record
the patient
The Correct Answer is D
A. The patient's friends: While family and friends can provide secondary information, they are not the primary source of assessment data.
B. Past medical records: Past records can provide valuable history, but they do not replace real-time data from the patient.
C. The patient's record: The medical record is a collection of past documentation but is not a source of new assessment data.
D. The patient: The patient is the primary source of assessment data, as they provide information about their symptoms, medical history, and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. As difficult to maintain: This is a subjective statement and not a proper nursing diagnosis.
B. As a risk factor: Bed rest increases the risk of complications such as pressure ulcers, deep vein thrombosis (DVT), and muscle atrophy.
C. As a nursing responsibility: While nurses help manage bed rest, it is not classified as a responsibility but as an intervention.
D. As contributing to the patient's recovery: Although bed rest may be necessary, prolonged immobility can have negative effects, making this statement incomplete.
Correct Answer is D
Explanation
A. Physician's Order Sheet: While the physician orders narcotics, administration is not documented here.
B. Narcotic Administration Sheet: The Narcotic Administration Sheet is specifically for controlled substances, ensuring proper tracking and preventing misuse.
C. Care Plan: The care plan outlines patient goals and interventions, not medication administration.
D. MAR (Medication Administration Record) and Narcotic Administration Sheet: The MAR (Medication Administration Record) documents all medications given to the patient. The Narcotic Administration Sheet is required for controlled substances to comply with regulations.
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