A nurse has just completed assessment charging on the electronic record for an assigned client. An assistive personnel who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?
Recommend the AP come back later when the record is available
Log out so the AP can log in to document the vital signs
Offer to chart the vital signs for the AP
Allow the AP to document the vital signs prior to logging out
The Correct Answer is B
a. Recommend the AP come back later when the record is available:
This option delays the documentation process unnecessarily and may inconvenience the AP.
It doesn't address the issue of maintaining patient confidentiality and accurate documentation.
b. Log out so the AP can log in to document the vital signs:
This is the correct choice as it ensures that each individual's documentation is attributed to the correct user.
It maintains patient confidentiality and adheres to HIPAA regulations.
It allows the AP to complete their task efficiently while preserving the integrity of the electronic record.
c. Offer to chart the vital signs for the AP:
This option involves the nurse taking over the responsibility of documenting the vital signs for the AP, which could lead to confusion and potential errors.
It's not the most appropriate solution as it may not be feasible for the nurse to document the vital signs accurately without directly measuring them.
d. Allow the AP to document the vital signs prior to logging out:
Allowing the AP to document vital signs under the nurse's login compromises the integrity of the electronic record and violates HIPAA regulations.
It's not an acceptable practice as it can lead to inaccuracies in the documentation and compromises patient confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Continue the medication dosages that relieve the client’s pain:
Opioids and benzodiazepines are commonly used for pain and anxiety management in terminally ill patients. Somnolence is an expected side effect and does not necessarily warrant withholding medication unless the client shows signs of respiratory depression.
B. Contact the provider about replacing the opioid with an NSAID: NSAIDs are not sufficient for severe pain in terminal illness. Opioids are the gold standard for palliative pain management, and switching to an NSAID would likely lead to uncontrolled pain and unnecessary suffering.
C. Administer the benzodiazepine but withhold the opioid: This would leave the client in severe pain, which is unethical in hospice care. Pain relief should not be withheld solely due to sedation.
D. Withhold the benzodiazepine but continue the opioid: Benzodiazepines are often used to relieve anxiety, dyspnea, and agitation in end-of-life care. Withholding it could cause increased distress for the client. Instead of discontinuing the medication, the nurse should monitor for respiratory depression and adjust doses only if necessary.
Correct Answer is B
Explanation
a. Root cause analysis:
Root cause analysis is a method used to identify the underlying causes of problems or adverse events. It involves systematically investigating an issue to determine the primary factors that contributed to its occurrence. Root cause analysis aims to identify not only the immediate causes but also the underlying systemic or process-related factors that led to the problem.
b. Benchmarking:
Benchmarking involves comparing an organization's performance, processes, or outcomes to those of other organizations or industry standards that are recognized as leaders or best practices. It allows organizations to identify areas for improvement by learning from the successes and best practices of others. Benchmarking can help organizations set performance targets, improve processes, and achieve excellence in various areas.
c. Risk benefit analysis:
Risk-benefit analysis is a method used to evaluate the potential risks and benefits associated with a decision, action, or intervention. It involves assessing the likelihood and severity of potential risks and comparing them to the expected benefits or outcomes. Risk-benefit analysis helps decision-makers weigh the advantages and disadvantages of different options to make informed decisions that maximize benefits while minimizing risks.
d. Structure audit:
A structure audit is an evaluation of the organizational structure, policies, procedures, and resources in place within an organization. It assesses the adequacy and effectiveness of the organizational infrastructure in supporting the delivery of services or achieving organizational goals. Structure audits help identify strengths and weaknesses in the organization's structure and processes, providing insights into areas that may require improvement or enhancement.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.