Which of the following examples of documentation best describes ...

[Mr3Hunna]

Which of the following examples of documentation best describes the data?
 
  A. Small amount of clear yellow urine voided.
  B. Voided 220 mL clear yellow urine.
  C. A small amount of urine voided into absorbent pad.
  D. Patient incontinent of urine.

Question 2

Although a registered nurse has been working for several years as a staff nurse on an adult oncology unit, he recently transferred to a pediatric unit in the hospital.
 
  He will be in orientation for several days to learn about the different systems, and he will need to demonstrate proficiency in various pediatric areas such as medication administration. This is because he will need to demonstrate which of the following? A. Competency
  B. Judgment
  C. Advocacy
  D. Utilitarianism

[juliaf]

Answer to Question 1

B
The use of precise measurements makes documentation more accurate. For example, documenting Voided 450 mL clear urine is more accurate than Voided an adequate amount. To avoid misunderstandings and promote patient safety, write out any abbreviations that are possibly confusing.

Answer to Question 2

A
Competence refers to specific knowledge and skills necessary to perform a task. In the practice of nursing, competence ensures the provision of safe nursing care. Regulations that guide the documentation of competence vary from state to state, but the agreement to practice with competence is a common denominator for all states and is in the nursing code of ethics.

[Mr3Hunna]

TY

[juliaf]

You're welcome