Author Question: Guidelines should be followed when documenting patient care. Which one of the following does the ... (Read 19 times)

ereecah · **on:** Jul 22, 2018

Guidelines should be followed when documenting patient care. Which one of the following does the nurse recognize as the most appropriate notation?

a. 1230 hours: Patient's vital signs taken
b. 0700 hours: Patient drank adequate amount of fluids
c. 0900 hours: Morphine given for lower abdominal pain
d. 0830 hours: Increased IV fluid rate to 100 mL per hour

Question 2

The nurse is performing a physical examination on a 58-year-old patient. The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?

a. Reduced pupillary reaction to light
b. Palpable thyroid lobes
c. Decreased skin turgor
d. Increased range of joint motion

Viet Thy · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A The entry 1230 hours: Patient's vital signs taken does not indicate what the patient's vital signs were.
B The entry 0700 hours: Patient drank adequate amount of fluids does not provide the specific amount that the patient drank. Stating adequate is subjective, not objective.
C The notation 0900 hours: Morphine given for lower abdominal pain does not have the patient describe his or her pain, or rate it according to a pain scale for comparison later. It also does not indicate whether the patient's pain was in the lower left or lower right quadrant, or both.
D Information within a recorded entry must be complete, containing appropriate and essential information. The notation 0830 hours: Increased IV fluid rate to 100 mL per hour provides the time and action taken by the nurse, including the reason for doing so.

Answer to Question 2

C

Feedback
A Pupillary reaction to light and accommodation should not change in the middle adult.
B The thyroid lobes should not be palpable in the middle adult.
C A slow, progressive decrease in skin turgor appears in the middle adult.
D A normal change in the middle adult is a decreased range of joint motion.