Which client would the nurse anticipate to most likely have a ...

[mcmcdaniel]

Which client would the nurse anticipate to most likely have a higher-than-normal pulse rate?
 
  1. An obese young adult client admitted for a fractured femur requiring traction
  2. A middle-aged adult client with hypertension admitted for removal of a tumor that might be cancerous
  3. A febrile elderly client with diabetes admitted for treatment of cellulitis
  4. An adolescent client admitted with an anxiety disorder

Question 2

Why is it critically important for the nurse to document all client care activities in the medical record? Select all that apply.
 
  1. To facilitate continuity of care
  2. To promote effective care
  3. To meet legal and accreditation requirements
  4. To prove care was completed
  5. To provide data for research and reimbursement

[CourtneyCNorton]

Answer to Question 1

Correct Answer: 3

The elderly client is more likely to have a faster heart rate than are younger clients, and with the addition of a fever and a diagnosis of diabetes that increases the risk of peripheral vascular disease, the risk for an elevated pulse rate is almost a certainty. The client who is obese could have a higher heart rate, but because she is on bed rest, she is not at greatest risk. The hypertensive client is experiencing a stressful eventboth states can elevate heart ratebut has fewer risk factors than does the elderly client. The adolescent client would be expected to have a lower heart rate than an elderly client, and has only one factor influencing heart rate elevation.

Answer to Question 2

Correct Answer: 1,2,3,5

The nurse documents to meet legal and accreditation requirements. Facilitating continuity of care by careful documentation leads to improved communication and promotes more effective care. Data from nursing documentation are used for both research and reimbursement. Documenting care does not prove it was completed.

[mcmcdaniel]

TYSM

[LVPMS]

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