After collecting data from the client admitted to the physician's ...

[big1devin]

After collecting data from the client admitted to the physician's office, the nurse documents:
 
  1. Chief complaint, present illness, and vital signs.
  2. Chief complaint, past medical history, and medication administration.
  3. History of present illness, social history, and demographic data.
  4. Chief complaint, present illness, and demographic data.

Question 2

The nurse working in a physician's office admits a client and gathers information about the client's reason for visiting. While the client talks, the nurse:
 
  1. Writes down exactly what the client says.
  2. Listens actively and observes the client as she talks.
  3. Measures vital signs.
  4. Performs hand hygiene.

[wshriver]

Answer to Question 1

1
Rationale: The nurse documents chief complaint, or purpose of the visit; history of the present illness; and vital signs. Past medical history is obtained from the client in the waiting room, and the receptionist gathers demographic data at the same time.

Answer to Question 2

2
Rationale: The nurse should employ active listening and observe the client as she talks to assess general mental status and overall condition. Vital signs are not measured while the client is talking, hand hygiene is performed before entering the room, and information should be documented after the client finishes speaking.

[big1devin]

Thanks for the timely response, appreciate it

[phuda]

TYSM