Author Question: Why is documenting all of the client's care at the end of the shift considered a dangerous practice? ... (Read 36 times)

dakota nelson · **on:** Jul 22, 2018

Why is documenting all of the client's care at the end of the shift considered a dangerous practice?

a. It is assumed that if nothing was charted, nothing was done.
b. Other health care professionals may administer medications or provide care to the client without the necessary up-to-date information.
c. When charts are incomplete, there is a presumption that the care professional was negligent.
d. It may imply that the care of the client was inadequate.

Question 2

The nurse teaches the client that prolonged use of the antibiotic streptomycin may result in which one of the following outcomes?

a. Damage to the auditory nerve
b. Alteration in perception
c. Optic irritation
d. Loss of taste

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

Answer to Question 1

B
Recording nursing care in a notebook or on a worksheet and then transferring the notes to a chart at the end of the shift can be a dangerous practice; other health care professionals may administer medications or provide care to the client without the much needed up-to-date information. Harm may come to the client when the client's record is inaccurate or incomplete.
Nurses' notes provide substantial evidence in a court case. It is inferred that nothing is charted because nothing was done.
When records are lost or incomplete, there is a presumption, especially in a court case, that care was negligent, resulting in the client's injuries. Incomplete or illegible records undermine the credibility of the health care professional.
Documenting all of the client's care at the end of the shift does not mean that the client did not receive adequate care.

Answer to Question 2

A
Some antibiotics, such as streptomycin, gentamicin, and tobramycin are ototoxic and can per-manently damage the auditory nerve.
Narcotic analgesics, sedatives, and antidepressant medications can alter the perception of stimuli.
Chloramphenicol can irritate the optic nerve.
Prolonged use of streptomycin does not result in a loss of taste.