The nurse notifies the primary care provider that the patient is experiencing pain. The provider gives the nurse a telephone prescription for morphine 4 mg intravenously every hour as needed for pain. How should the nurse document this telephone order?
a. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain. Kay Andrews, RN
b. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain T.O.: Dr. D. Kelly/Kay Andrews, RN
c. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain V.O.: Dr. D. Kelly/Kay Andrews, RN
d. 09/02/16 0845 morphine 4 mg intravenously q 1 hour V.O. Kay Andrews, RN
Question 2
A student nurse makes the following comments to her preceptor: I love getting information from the chart. Everything related to the patient's problem is together and addressed by various members of the healthcare team.
The student nurse has been introduced to which type of charting system?
a. Narrative
b. Focus
c. Source oriented
d. Problem oriented
Building competency in patient centered care
Patient health history form.
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