Author Question: A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most ... (Read 156 times)

saliriagwu · **on:** Jun 27, 2018

A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads

2/2/05 1630 Catheterized using an 8 French catheter,45 ml clear yellow urine obtained,specimen sent to lab, squirmed and cried softly during
insertion of catheter.Quiet in mother's arms following catheter removal.M.May RN
2. 1/9/05 2 P.M.g-tube accessed,positive air gurgle over stomach:5 ml air injected,10 ml residual stomach contents returned to stomach, Pediasure formula hung on Kangaroo pump.Child grunting intermittently, I think she wanted to annoy me.
K.Earnst RN
3. 4:00 Trach dressing removed withdime-size stain of dry serous exudate.
Site cleansed with normal saline. Dried with sterile gauze.New sterile trach sponge and trach ties applied. Respirations regular and even
throughout the procedure.F.Luck RN
4. Feb.'05 Portacath assessed withHuber needle.Blood return present. Flushed with NaCl sol.,IV gammaglobins hung and infusing at 30cc/hr. Child smiling and playful throughout the procedure.P. Potter,RN

Question 2

7-year-old child has been admitted for acute appendicitis. The parents are questioning the nurse about expectations during the child's recovery. Which information tool would be most useful in answering a parent's questions about timing of key events?

1. Healthy People 2010
2. Critical clinical pathways
3. Child mortality statistics
4. National clinical practice guidelines

chem1s3 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale: The client record should include the date and time of entry,nursing care provided,assessments,an objective report of the client's physiologic response,exact quotes,and the nurse's signature and title.

Answer to Question 2

Answer: 2
Rationale: Critical clinical pathways are interdisciplinary documents provided by a
hospital to suggest ideal sequencing and timing of events and interventions for
specific diseases to improve efficiency of care and enhance recovery. This
pathway serves as a model outlining the typical hospital stay for individuals with
specified conditions. Healthy People 2010 contains objectives set by the US
government to improve the health and reduce the incidence of death in the
twenty-first century. Child mortality statistics can be compared with those from
other decades for the evaluation of achievement toward healthcare goals. National
clinical practice guidelines promote uniformity in care for specific disease
conditions by suggesting expected outcomes from specific interventions.