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Which of the following would be falsification of health records? Select all that apply.

Documenting an assessment that was not performed

The nurse documents that the family has asked to speak to the doctor

The nurse fails to document the doctor's verbal order for a new medication

The nurse left their badge at home and cannot sign into the EHR

The nurse documents blood labs were sent before the blood draw was performed

Answer and Explanation

Correct Answer : A,E

Correct answers are:

A. Documenting an assessment that was not performed

E. The nurse documents blood labs were sent before the blood draw was performed

Falsification of health records refers to deliberately misrepresenting, fabricating, or altering documentation, which could lead to severe consequences for patients and healthcare providers. In option A, documenting an assessment that was not performed is falsification of health records because it misrepresents the care provided to the patient. Similarly, in option E, documenting that blood labs were sent before the blood draw was performed is a falsification of health records because it is not an accurate representation of the actual order of events.

Options B, C, and D do not involve falsification of health records, but they may be considered documentation errors or violations of organizational policies.

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Correct Answer is ["A","B","C","D","E"]

Explanation

The correct answer is choices A, B, C, D, and E.

Hypoxia occurs when there is inadequate oxygen supply to the body's tissues. Signs of hypoxia can vary depending on the severity of the condition. The following signs can indicate hypoxia:

Increased respiratory rate - Hypoxia can cause an increased respiratory rate as the body tries to increase oxygen levels in the blood.
Confusion - Hypoxia can affect cognitive function, leading to confusion.
Cyanosis - Hypoxia can cause a blue or purple discoloration of the skin, lips, or nail beds due to the lack of oxygen.
Restlessness - Hypoxia can cause restlessness or agitation.
Dyspnea - Hypoxia can cause difficulty breathing, also known as dyspnea.
Bradycardia - Bradycardia, or a slow heart rate, is not typically a direct sign of hypoxia. Hypoxia often leads to tachycardia (increased heart rate) as the body tries to compensate for low oxygen levels.
Hypotension - While severe hypoxia can eventually lead to changes in blood pressure, hypotension (low blood pressure) is not a primary sign of hypoxia. Typically, hypoxia might cause hypertension or have no immediate impact on blood pressure.
Nausea and Vomiting - While nausea and vomiting can be related to various conditions, they are not specific signs of hypoxia. These symptoms might occur due to other issues or as a secondary effect in some cases, but they are not primary indicators of hypoxia.

A. Listen with a stethoscope at the second intercostal space left sternum B. Listen with the stethoscope at the fifth intercostal space at the sternum C. C. Listen with the stethoscope at the fifth intercostal space left mid clavicular line D. Listen with a stethoscope at the neck to the right of the coracoid process.

Correct Answer is C

Explanation

The correct answer is choice C: Listen with the stethoscope at the fifth intercostal space left mid clavicular line. This is the correct location to auscultate the apical pulse or apical heart rate. The apical pulse is the sound of the heart beating heard through a stethoscope placed over the apex of the heart, which is located at the fifth intercostal space at the left mid-clavicular line. The second intercostal space at the left sternum is the location to auscultate the aortic valve, while the fifth intercostal space at the sternum is the location to auscultate the tricuspid valve. The neck to the right of the coracoid process is not a location to auscultate the apical pulse.

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Which of the following would be falsification of health records? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient and notes that the patient is experiencing hypoxia. Which of the following patient signs would indicate that the patient has hypoxia? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse can most accurately assess a client's apical heart rate by which of the following methods?

Correct Answer is C

Explanation

Which technique should the nurse use to assess the pupillary reaction on a client?

Ancient has developed dysphagia secondary to a cerebrovascular accident. The doctor has ordered pureed diet with nectar thick liquids. Which of the following would be appropriate for this client?

The physician orders penicillin G 1,000,000 units IM. The label on the vial of powdered penicillin G reads to reconstitute with 1.6 mL of sterile water to achieve a concentration of 5,000,000 units/mL. How many mL will the nurse give to the client for the ordered dose?

The nurse is teaching a patient with a new ostomy about skin care to preserve tissue integrity. What teaching will the nurse provide about cleansing the ostomy area?

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which of the following statements is characteristic of the denial stage?

A nurse is instructing a group of nursing students in taking vital signs and assessing a client's respiratory status. Which of the following guidelines should the nurse include? Select all that apply.

An obese client is visiting a medical clinic seeking advice on ways to eat healthy and lose weight. The nurse should recommend which of the following to be included in the client's diet?