At the beginning of rounds when entering the room, what should ...

[james]

At the beginning of rounds when entering the room, what should the nurse do first?
 
  a. Check the intravenous (IV) infusion site for swelling or redness.
  b. Check the infusion pump settings for accuracy.
  c. Make eye contact with the patient, and introduce him or herself as the patient's nurse.
  d. Offer the patient something to drink.

Question 2

Which statement is true regarding the recording of data from the history and physical examination?
 
  a. Use long, descriptive sentences to document findings.
  b. Record the data as soon as possible after the interview and physical examination.
  c. If the information is not documented, then it can be assumed that it was done as a standard of care.
  d. The examiner should avoid taking any notes during the history and examination because of the possibility of decreasing the rapport with the patient.

[scikid]

Answer to Question 1

ANS: C
When entering a patient's room, the nurse should make direct eye contact, without being distracted by IV pumps and other equipment, and introduce him or herself as the patient's nurse.

Answer to Question 2

ANS: B
The data from the history and physical examination should be recorded as soon after the event as possible. From a legal perspective, if it is not documented, then it was not done. Brief notes should be taken during the examination. When documenting, the nurse should use short, clear phrases and avoid redundant phrases and descriptions.

[james]

Thanks for the timely response, appreciate it

[Bigfoot1984]

Excellent