A slight hematoma has developed on the client's left forearm. The ...

[vicotolentino]

A slight hematoma has developed on the client's left forearm. The nurse labels the problem as an infiltrated intravenous (IV) line. The nurse elevates the forearm. The client states, My arm feels better.
 
   Which of these is documented as the R in the dataactionresponse (DAR) notes of focus charting? a. My arm feels better.
  b. Slight hematoma on left forearm
  c. Infiltrated IV line
  d. Elevation of left forearm

Question 2

The nurse is preparing to perform a fecal occult blood test. The nurse plans to properly perform the examination by
 
  a. Applying liberal amounts of stool to the guaiac paper.
  b. Testing the quality control section before collecting the specimen section.
  c. Reporting any abnormal findings to the provider.
  d. Applying sterile disposable gloves.

[xMRAZ]

Answer to Question 1

A
The R in the dataactionresponse (DAR) documentation of focus charting is the response by the client. In this case, the nurse would document, Client states, My arm feels better.'
Slight hematoma on left forearm is the D in DAR, referring to data in focus charting.
Infiltrated IV line is the D in DAR, referring to data in focus charting.
Elevation of left forearm is the A in DAR, describing the action or nursing intervention in focus charting.

Answer to Question 2

C
Abnormal findings such as a positive test should be reported to the provider. A fecal occult blood test is a clean procedure; sterile gloves are not needed. A thin specimen smear is all that is required. The quality control section should be developed after it is determined whether the sample is positive or negative.

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