When documenting events in a patient's chart, the nurse should chart:
the specific time of all sudden changes in the patient's condition
the period the shift covers
every 2 hours
every hour on the hour
The Correct Answer is A
A. The specific time of all sudden changes in the patient's condition: Timely documentation of sudden changes ensures accuracy in patient records and supports clinical decision-making.
B. The period the shift covers: While shift documentation is important, it does not replace event-specific charting.
C. Every 2 hours: Documentation frequency depends on patient status; critical changes require immediate recording, not just every 2 hours.
D. Every hour on the hour: Routine hourly documentation is unnecessary unless required by patient condition (e.g., ICU monitoring).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Evaluation: Evaluation is the phase where nurses assess whether patient goals and expected outcomes were met.
B. Assessment: Assessment is the first step, where data is collected to identify patient needs.
C. Implementation: Implementation involves carrying out nursing interventions, not reviewing outcomes.
D. Planning: Planning is where goals and interventions are developed, not evaluated.
Correct Answer is C
Explanation
A. CNA (Certified Nursing Assistant): CNAs assist with basic patient care (e.g., hygiene, vital signs) but do not perform assessments or make nursing diagnoses.
B. Technician: Technicians perform specific tasks (e.g., drawing blood, ECGs) but do not analyze patient data for diagnosis.
C. RN (Registered Nurse): The RN is responsible for analyzing and interpreting data, identifying nursing diagnoses, and developing the care plan.
D. LPN/LVN (Licensed Practical/Vocational Nurse): LPNs/LVNs can collect data but cannot make a nursing diagnosis, which is the RN’s role.
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