Author Question: The nurse is documenting on the client's record and notes that he or she has made an error. What ... (Read 31 times)

vicky · **on:** Jul 22, 2018

The nurse is documenting on the client's record and notes that he or she has made an error. What action should the nurse take?

a. Draw a straight line through the error and initial it.
b. Erase the error and write over the material in the same spot.
c. Use a dark-coloured marker to cover the error and continue immediately after that point.
d. Footnote the error at the bottom of the page.

Question 2

The nurse would anticipate which diagnostic examination for a patient with black tarry stools?

a. Ultrasound
b. Barium enema
c. Upper endoscopy
d. Flexible sigmoidoscopy

amanda_14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
If the nurse has made an error in documentation, he or she should draw a single line through the error, write the word error above it, and sign his or her name or initials. Then the nurse should record the note correctly.
The nurse should not erase, apply correction fluid to, or scratch out errors made while recording because charting then becomes illegible. Entries should be made only in ink so that they cannot be erased.
Using a dark-coloured marker to cover the error and continue immediately after that point is not the correct action. It may appear as if the nurse were attempting to hide something or deface the record.
Footnotes are not used in nursing documentation.

Answer to Question 2

C
Black tarry stools are an indication of ulceration or bleeding in the upper portion of the GI tract; upper endoscopy would allow visualization of the bleeding. No other option would allow upper GI visualization.