A nurse is following appropriate documentation procedure when: ...

[Arii_bell]

A nurse is following appropriate documentation procedure when:
 
  A. Quoting subjective information
  B. Identifying in the client's record that an incident report was completed
  C. Completing late entries with the time the procedure should have been done
  D. Documenting immediately before administering client medications

Question 2

An appropriate technique for nasogastric tube insertion is for the nurse to:
 
  A. Position the client supine
  B. Ice the plastic tube
  C. Advance the tube while the client swallows
  D. Measure the tube length from the nose to the sternum

[mceravolo]

Answer to Question 1

A
A. For subjective data provide description of episode in quotation marks: onset, location, description of condition (severity; duration; frequency; precipitating, aggravating, and relieving factors).
B. A notation that an incident report was written is not included in the medical record.
C. When documenting a late entry, indicate the time of the late entry along with the action and an objective observation.
D. Immediately after (not before) administration document: time medication given, preliminary assessment (e.g., pain level, vital signs), client response or effect of medication

Answer to Question 2

C
C. Client will be asked to swallow water to facilitate tube passage.
A. Position client in sitting or high-Fowler's position. If client is comatose, place in semi-Fowler's position with head propped forward using a pillow.
B. Plastic tubes should not be placed in cold water or ice water.
D. Tip of tube must reach stomach. Measure distance from tip of nose to earlobe to xiphoid process of sternum. Add additional 20 to 30 cm (8 to 12 inches) for NI tube.

[Arii_bell]

Excellent

[coreycathey]

Gracias!