Author Question: Which chart entry by a nurse would require follow up? a. 0815 Patient found on floor. b. 0816 ... (Read 63 times)

krzymel · **on:** Jul 22, 2018

Which chart entry by a nurse would require follow up?

a. 0815 Patient found on floor.
b. 0816 Patient assessed and helped back to bed.
c. 0818 Physician notified of incident.
d. 0820 Occurrence report completed.

Question 2

The student nurse has been assigned to the pediatric unit for her clinical training this semester. She is assisting with the admission of a 5-month-old infant admitted with pneumonia.

The stu-dent nurse is responsible for taking the child's vital signs and weighing and measuring the child. The infant's mother is very concerned when the student nurse tells her that the baby weighs 14 pounds. The mother states that the baby has lost a significant amount of weight because the pre-vious week she weighed 16 pounds at home. What is the student nurse's best response to the mother's concern? a. To get an accurate weight, babies are weighed at different times of the day.
b. Variations occur because we place our hand firmly on the child.
c. Even if we use the same scale, the varia-tion can be 1 to 2 pounds.
d. Weight measurements can vary with dif-ferent scales.

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

Answer to Question 1

D
Do not document in the nurses' notes that an occurrence report was completed. All the other en-tries are accurate. Objectively record the details of the event and any statements
the patient makes. At the time of the event, always assess the patient thoroughly, and then con-tact the health care provider to examine him or her.

Answer to Question 2

D
Different scales can give different weights for patients. To ensure accurate clinical decisions, weigh patients at the same time of day, on the same scale, and in the same clothes. Hold a hand lightly above the infant to prevent accidental falls. The scale can measure in weight increments to the nearest 0.1 pound or 0.1 kg.