A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

A medical record can be used as evidence in a court of law

A nurse should ensure the documentation is organized and completed in a timely fashion

Documentation should include the nurse's interpretation of the client situation

Data contained in a client's medical record can be shared with all employees within a health care facility

Information recorded in the client's medical record must be accurate and complete.

Answer and Explanation

Correct Answer : A,B,E

A. A medical record can indeed be used as evidence in a court of law to support or refute claims related to patient care.
B. Documentation should be organized and timely to ensure accuracy and continuity of care.
C. Documentation should not include the nurse's interpretation but rather objective data and actions taken.
D. Data in a client's medical record should only be shared with those directly involved in the client's care unless otherwise authorized.
E. Information recorded in the client's medical record must be accurate and complete to support safe and effective client care and legal purposes.

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Correct Answer is ["2"]

Explanation

To administer the correct dose of levothyroxine, which is 100 mcg, the nurse would need to give two tablets of the 50 mcg levothyroxine. This is because two tablets of 50 mcg each will sum up to the total prescribed dose of 100 mcg.

A. Ask the client to remain in a side-lying position with the affected ear down for several minutes after instillation. B. Pull the client's pinna down and back prior to instillation. C. Warm the medication to room temperature before administration. D. Press a cotton ball into the client's ear canal after instillation.

Correct Answer is C

Explanation

A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.

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A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

18. A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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