Which of the following examples of patient data needs to be validated? Select all that apply.
A) A patient has trouble reading an informed consent, but states he does not need glasses.
B) An elderly patient explains that the black and blue marks on his arms and legs are due to a fall.
C) A nurse examining a patient with a respiratory infection documents fever and chills.
D) A patient in a nursing home states that she is unable to eat the food being served.
E) A pregnant patient is experiencing contractions that are 2 minutes apart.
F) Following a MVA, the teenage driver with alcohol on his breath states that he was not drinking.
Question 2
A nurse administers a medication for pain but forgets to document it in the patient's medical record. Legally, what does this mean?
A) Nothing, the nurse's honesty will not be questioned.
B) The nurse can add the documentation after the patient goes home.
C) The physician will verify that the nurse carried out the order.
D) In the eyes of the law, if it is not documented, it was not done.
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