Author Question: Where is the nurse's description of the teaching provided to the client on performance of ... (Read 54 times)

jho37 · **on:** Jul 22, 2018

Where is the nurse's description of the teaching provided to the client on performance of self-medication administration recorded?

a. Kardex form
b. Incident report
c. Nursing history form
d. Discharge summary form

Question 2

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding would the nurse report immediately?

a. Liquid consistency of stool
b. Presence of blood in the stool
c. Noxious odor from the stool
d. Continuous output from the stoma

irishcancer18 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
The nurse's description of the teaching provided to the client on performance of self-administration of medication is recorded in the discharge summary form.
A Kardex form is a written form that contains basic client information. A Kardex form contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift reports. It does not include a description of teach-ing that was provided to the client.
An incident report concerns any event that is not consistent with the routine operation of a health care unit or routine care of a client (e.g., a client falls).
A nursing history form guides the nurse through a complete assessment to identify relevant nursing diagnoses or problems. It provides baseline data about the client.

Answer to Question 2

B
Blood in the stool may indicate a problem with the surgical procedure, and the physician should be notified. All other options are expected findings for an ileostomy.