A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

The client demonstrated proper technique when drawing up 8 units of insulin.

The client stated ‘’I struggle to see those little lines on the syringe’’

The client FBS was 95 mg/dl

The client seems to be more comfortable performing self-administration of insulin.

Answer and Explanation

The Correct Answer is D

Choice D:

The client seems to be more comfortable performing self-administration of insulin: The use of the term “seems” introduces subjectivity, which weakens the clarity and objectivity of the documentation. It’s better to describe specific observations or objective findings. For instance, instead of using “seems,” the nurse could note how the client demonstrated confidence or performed the task with ease, providing concrete evidence of improvement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A) Researcher:
The nurse is gathering evidence-based practice (EBP) on catheter-associated urinary tract infections (CAUTI), which involves systematically collecting, analyzing, and reviewing existing studies or guidelines to inform clinical practice. This is the role of the researcher in EBP. Nurses in this role contribute to improving patient outcomes by identifying best practices, assessing existing evidence, and implementing findings to reduce complications, such as CAUTIs.

B) Nurse manager:
While a nurse manager may oversee quality improvement projects, staffing, and other operational aspects of nursing care, they are not typically the ones actively gathering evidence-based data themselves. Nurse managers may utilize the findings from research but are not directly involved in the research process unless leading specific studies.
C) Case manager:
A case manager primarily coordinates care for individual patients, ensuring they receive the appropriate resources and follow-up care. They help manage the continuity of care across different settings but do not focus on gathering or researching evidence for clinical practices. Their role is more focused on patient outcomes and care delivery rather than generating evidence.

D) Educator:
While an educator might be involved in teaching staff or patients about preventing CAUTI, the role described in the question specifically refers to gathering evidence-based practice information. Educators may use research findings in their teaching, but gathering evidence is a distinct activity that fits the role of the researcher in EBP.

A. The client is underweight. B. The client takes anticoagulant medications. C. The client has urinary incontinence D. The client has peripheral vascular disease

Correct Answer is B

Explanation

A) The client is underweight:
Being underweight is not directly associated with an increased risk of incisional hematoma formation. However, underweight individuals may have a lower amount of subcutaneous fat, which could affect wound healing. While nutritional status plays a role in recovery after surgery, being underweight does not specifically increase the risk of hematoma formation at
the incision site.

B) The client takes anticoagulant medications:
Taking anticoagulant medications (e.g., warfarin, heparin, or newer anticoagulants like dabigatran) increases the risk of bleeding and the formation of an incisional hematoma. Anticoagulants work by reducing the blood's ability to clot, making it more difficult to stop bleeding after surgery. This increases the likelihood of blood accumulating in the tissue around the incision site, potentially forming a hematoma.

C) The client has urinary incontinence:
Urinary incontinence does not directly increase the risk of incisional hematoma formation. However, it can lead to other complications, such as skin irritation or infection, but it is not a primary risk factor for hematoma formation in the surgical wound. The main concern with urinary incontinence in the perioperative period is ensuring proper skin care to prevent moisture-associated skin damage.

D) The client has peripheral vascular disease:
Peripheral vascular disease (PVD) affects circulation in the extremities, which can impair wound healing due to decreased blood flow. While PVD can contribute to delayed healing and complications like infection, it is not the most significant factor for the formation of incisional hematomas.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering evidence based practice on catheter associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

Correct Answer is A

Explanation

A nurse is reviewing the medical history of a client who is luted for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?

Correct Answer is B

Explanation

A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?

A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?

A nurse is assessing a client who has a wound that is healing by primary intention. Which of the following findings should the nurse expect?

A nurse in public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals to address an identified problem?

A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?