Author Question: The Joint Commission regulations state that pain is to be assessed whenever other vital signs are ... (Read 58 times)

Zoey63294 · **on:** Jul 17, 2018

The Joint Commission regulations state that pain is to be assessed whenever other vital signs are measured. What must the nurse include in the documentation of pain in the electronic medical record?

1 . Level of pain
2 . Description of pain
3 . Action taken to relieve pain
4 . Vital signs every 2 hours
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4

Question 2

A client is being transferred from one unit of the healthcare facility to another. Which is most important for the nurse do when transferring the client to another unit?

A) Notify the primary care provider that the transfer has occurred.
B) Check the Kardex or medication administration record for accuracy.
C) Ask family to take care of client's clothes and articles.
D) Take x-ray films and laboratory reports after transferring the client.

SeanoH09 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
The documentation of pain includes level of pain, description of pain, action taken, and results. Vital signs are documented when taken, but not always every 2 hours.

Answer to Question 2

B
Feedback:
The nurse should check the Kardex or medication administration record (MAR) for accuracy. All treatments and medications should be documented to prevent duplication or omission. The nurse should inform both the physician and all concerned departments that the client has been transferred. The nurse should not ask the family to take care of the client's clothes and articles. The nurse should gather all personal belongings of the client, as well as medical reports, when transferring the client to another unit.