What actions taken by a newly licensed nurse are appropriate when documenting on paper? Select all that apply.

The newly licensed nurse corrects an erroneous written entry using correction fluid.

The newly licensed nurse documents when there is a change in the patient's status.

The newly licensed nurse leaves a line blank so the charge nurse can add additional documentation between the newly licensed nurse's entries.

The newly licensed nurse plans to finish charting the procedure when they return from break.

The newly licensed nurse charts using military (24-hour) time.

Answer and Explanation

Correct Answer : B,E

Choice A rationale:

Using correction fluid to correct an erroneous written entry is not appropriate as it can obscure the information and raise questions about the accuracy of the documentation. It is better to strike through the error with a single line, write the correct information, and sign and date the correction.

Choice B rationale:

Documenting changes in the patient's status is crucial for ensuring continuity of care and keeping all healthcare providers informed about the patient's condition.

Choice C rationale:

Leaving a blank line for the charge nurse to add additional documentation is not recommended. Each entry should be complete and include all relevant information at the time of documentation.

Choice D rationale:

Planning to finish charting the procedure after returning from a break is not appropriate. Charting should be done in real-time to ensure accuracy and timeliness of the information.

Choice E rationale:

Charting using military (24-hour) time is appropriate as it reduces confusion and ensures a standardized way of documenting time across different healthcare settings.

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Correct Answer is C

Explanation

Choice A rationale:

Extension refers to the straightening of a joint and is the opposite of flexion. It is not the correct term for the described hand movement.

Choice B rationale:

Abduction is the movement of a body part away from the midline of the body. It does not describe the specific movement of the patient's hand toward the inner aspect of the forearm.

Choice C rationale:

Flexion is the bending of a joint, decreasing the angle between two body parts. When the nurse moves the patient's hand toward the inner aspect of the forearm, it is a flexion movement of the wrist.

Choice D rationale:

Adduction is the movement of a body part toward the midline of the body. It is not the correct term for the described hand movement.

A. "I am calling report on Mr. Jones who is being transferred to your unit today from the emergency room.”. B. "He has swelling of the left knee and it is bruised, red and tender. C. "He is requesting a bed close to the bathroom so he can get to the bathroom easier.”. D. "Mr. Jones has had left knee pain following a motor vehicle accident four days ago.”.

Correct Answer is A

Explanation

Choice A rationale:

In the SBAR method, "S" stands for Situation. This portion of the report includes a brief and concise statement about the patient's current situation or problem. In this case, option A provides a clear and specific statement about the patient's situation, indicating that Mr. Jones is being transferred to another unit from the emergency room. The nurse would identify this statement as the "situation" portion of the SBAR report because it conveys the current status of the patient and the reason for the communication.

Choice B rationale:

Option B discusses the patient's symptoms and condition in detail, focusing on the left knee swelling, bruising, redness, and tenderness. While this information is important, it falls under the "Background" section of the SBAR report, not the "Situation" section. The "Situation" section should provide a brief overview of the patient's current status and the reason for the communication, which choice A accurately conveys.

Choice C rationale:

Option C mentions the patient's request for a specific bed location, which is relevant to the patient's preferences but does not constitute the "situation" portion of the SBAR report. This information is more appropriate for the "Recommendation" or "Request" section of the SBAR communication model.

Choice D rationale:

Option D provides information about the patient's history of left knee pain following a motor vehicle accident four days ago. While this information is important for understanding the patient's background, it does not represent the current situation or reason for the communication. Therefore, it does not fit the "situation" portion of the SBAR report.

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What actions taken by a newly licensed nurse are appropriate when documenting on paper? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse moves the patient's hand toward the inner aspect of the patient's forearm.This range of motion exercise would be documented as what of the wrist?

Correct Answer is C

Explanation

A nurse uses the SBAR method to give report about a patient to another unit in the hospital.What statement by the nurse would the nurse identify as the "situation" portion of the SBAR report?

Correct Answer is A

Explanation

Which statement regarding the anatomy and physiology of the respiratory system is correct?

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