Author Question: A nurse completes an occurrence report. Which is the best way for the nurse to document this ... (Read 49 times)

jilianpiloj · **on:** Jul 22, 2018

A nurse completes an occurrence report. Which is the best way for the nurse to document this occurrence?

a. Patient found lying on right side on floor. No noted injuries, patient stated, I slipped on a wet spot on the floor. I don't think I am injured.'
b. Patient slipped on a wet spot on the floor. No noted injuries, physician notified.
c. Patient in too much of a hurry and was walking too fast and fell. Was not injured. Patient instructed to slow down and not be in such a hurry. Health care provider notified.
d. Patient fell while going outside to smoke. Patient denied any injuries. Health care provider notified. Patient counseled.

Question 2

A single mother with three school-age children has recently noticed that the second child has been scratching his head and complains that it itches. She asks the school nurse to examine him. The school nurse notes that the child has head lice.

Which of the following is the best description of head lice? a. Lice are easy to see and look like little white crabs.
b. Lice are difficult to see, but their eggs are small oval particles.
c. Lice and their eggs are on the hair shafts and look like dandruff.
d. Treatment for lice can wait until the entire family can be checked.

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

Answer to Question 1

A
Objectively record the details of the event and any statements the patient makes. An example is as follows: Patient found lying on floor on right side. Abrasion on right forehead. Patient stated, I fell and hit my head.' Patient slipped on wet spot and patient fell while going outside should not be charted unless the nurse actually observed the event; otherwise, chart what found: Patient lying on floor. Patient in too much of a hurry includes subjective assumptions and statements; assigning blame or fault is inappropriate when completing the report.

Answer to Question 2

B
Head and crab lice attach their eggs to hair. Lice eggs look like oval particles of dandruff. The lice themselves are difficult to see. Observe for bites or pustular eruptions in the follicles and in areas where skin surfaces meet, such as behind the ears and in the groin. The discovery of lice requires immediate treatment and family education.