Documentation of type of care, time of care, and signature of the ...

[mrsjacobs44]

Documentation of type of care, time of care, and signature of the person who is documenting proves that:
 
  a. the person who signed the documentation did all the work noted.
  b. no litigation can be brought against the person who signed.
  c. interventions were implemented to meet the patient's needs.
  d. the patient's response to the intervention was positive.

Question 2

An adolescent female asks the nurse about taking retinoic acid (Accutane). The nurse instructs that the medication:
 
  a. should be used only for 10 weeks.
  b. requires that sexually active females use contraception.
  c. lowers hemoglobin very quickly.
  d. has few side effects.

[qytan]

Answer to Question 1

C
This information results in recording the interventions that are implemented to meet the patient's needs. Many charting entries include doctor's visits, presence of family, or interventions by other departments. Patient response to some interventions is not always positive.

Answer to Question 2

B
Accutane has many side effects and can produce birth defects. Effective contraception is necessary during treatment and 1 month after the 20 weeks it is to be taken.

[mrsjacobs44]

Thank you

[qytan]

Happy to help you