Author Question: A nursing student documents the following entries after providing care for the client. Which entry ... (Read 55 times)

joblessjake · **on:** Jul 17, 2018

A nursing student documents the following entries after providing care for the client. Which entry should the student revise?

A) Midline abdominal incision, approximately 3 inches in length is open to air with staples well approximated, and no redness, edema, or drainage present.
B) Client smells like rotten eggs, is visibility filthy, and is uncooperative with staff trying to bathe him and stated he wants to be left alone, and appears depressed.
C) Complaint of stabbing pain in lower back radiating down right leg, rated 5 out of 10 on pain scale, and requests pain medication.
D) Lungs are clear to auscultation anteriorally and posteriorly with easy, even, nonlabored respirations; no complaint of pain, discomfort, or shortness of breath.

Question 2

The licensed practical/vocational nurse is assigned to work on the unit safety committee led by an authoritarian leader. Which behavior should the nurse expect from the leader?

A) Provide no direction for the team and assume the team knows what to do
B) Consult and collaborate with the team members
C) Make the decisions, which will affect the whole team
D) Motivate members through effective team building increasing productivity

Christopher · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: B
Feedback:
When charting nursing care, the nurse should record concise, accurate findings and avoid personal opinion. The nurse should not provide a personal opinion about the client's odor, appearance and uncooperative manner. A better way to chart the information would be the following: Refuses staff to bathe him and stated he wants to be left alone. When charting about the client, it is implied it is about the client, so the word client may be omitted.

Answer to Question 2

Ans: C
Feedback:
The authoritarian leader dictates what will be done, when it will be done by, and how it will be done. The leader will check on the team members often and will make decisions affecting the whole team without their input. The leader is a laissez-faire or passive leader who assumes the team knows what to do and will get the job done and offers no direction for the team. The leader is a democratic leader who encourages the team to participate, consult, and collaborate producing better decisions. The leader is a transformational leader who motivates the whole team to work together through effective communication, which leads to team building and increases productivity.