A nurse administers a medication for pain but forgets to document ...

[craiczarry]

A nurse administers a medication for pain but forgets to document it in the client'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 client 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.

Question 2

A nurse is preparing to insert an intravenous line and begin administering intravenous fluids. The client has visitors in the room. What should the nurse do?
 
  A) Ask the visitors to leave the room.
  B) Ask the client if visitors should remain in the room.
  C) Tell the client to ask the visitors to leave the room.
  D) Wait until the visitors leave to begin the procedure.

[T4T]

Answer to Question 1

Ans: D

Nurses must carefully document each intervention. The legal truth is if it wasn't documented, it wasn't done.

Answer to Question 2

Ans: B

If visitors are in the client's room, check with the client to see whether she or he wants the visitors to stay during the procedure.

[craiczarry]

Thanks for the timely response, appreciate it

[Joy Chen]

TYSM