Author Question: A nurse is documenting the plan of care for a client with AIDS. Which of the following is most ... (Read 66 times)

laurencescou · **on:** Jul 22, 2018

A nurse is documenting the plan of care for a client with AIDS. Which of the following is most important when documenting the plan of care?

A) Avoid disclosing the client's name and address on the plan of care.
B) Ensure that the client's medical record and nursing interventions are written.
C) Ask one particular nurse to revise and update the plan of care daily.
D) Ensure that the client's medical insurance number is stated on the sheet.

Question 2

A nurse is conducting a focused respiratory assessment of a 21-year-old man who has been admitted to the hospital with a pneumothorax (collapsed lung).

The nurse is aware that this client's diagnosis affects multiple aspects of his respiratory function, including external respiration. In what anatomical location does the external respiration take place? A) The bronchi
B) The alveoli
C) The surface of red blood cells
D) Arterial vessel walls

kswal303 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Feedback:
The nurse should document the client's medical record and the planned nursing interventions in the plan of care as per the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirements. To communicate the plan of care, each nurse assigned to the client refers to the sheet, reviews it, and revises it daily. Stating the medical insurance number of the client on the sheet is of secondary importance as it ensures reimbursement from insurance companies. Nurses make certain that the client is identified on the plan of care.

Answer to Question 2

B
Feedback:
External respiration takes place at the most distal point in the airway between the alveolarcapillary membranes. Internal respiration occurs at the cellular level by means of hemoglobin and body cells.