A nurse in a long-term care facility is reviewing the facility documentation policies with a newly licensed nurse. Which of the following abbreviations should the nurse remind the newly licensed nurse to use when documenting care?

ADL

Answer and Explanation

The Correct Answer is A

A) ADL (Activities of Daily Living): This abbreviation is commonly used in healthcare documentation to refer to the routine tasks individuals perform independently for self-care, such as bathing, dressing, grooming, and toileting. Reminding the newly licensed nurse to use the abbreviation ADL ensures clear and concise documentation of the client's functional status and care needs.

B) SQ: While SQ could stand for subcutaneous (as in SQ injection), it's generally recommended to use the full term "subcutaneous" in documentation to avoid confusion or misinterpretation. Using abbreviations like SQ can lead to errors or miscommunication in healthcare settings.

C) AU: This abbreviation typically stands for "each ear" when documenting information related to the ears, such as when administering eardrops or assessing for symptoms. However, similar to SQ, it's preferable to use the full term "each ear" in documentation to ensure clarity and avoid ambiguity.

D) HS: HS commonly stands for "hour of sleep" or "at bedtime" when documenting medication administration times. However, like other abbreviations, it's advisable to use the full term "at bedtime" to prevent misunderstandings or errors related to medication dosing schedules.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A) Ensure the client wears nonskid slippers when walking around the house:

Wearing nonskid slippers can help improve traction and stability, reducing the risk of slips and falls, especially on smooth or slippery surfaces commonly found in homes. Ensuring the client wears nonskid slippers is a proactive measure to prevent falls.

B) Install a raised toilet seat in the client's bathroom:

A raised toilet seat can make it easier for older adults with mobility issues to sit down and stand up from the toilet safely. It reduces the distance the client needs to lower themselves, decreasing the risk of falls, especially for those with balance or strength limitations.

C) Encourage an annual review of the medications the client is taking:

Medication review is essential to identify any medications that may increase the risk of falls due to side effects such as dizziness, drowsiness, or orthostatic hypotension. An annual review ensures that any potential fall-inducing medications can be identified and addressed promptly.

D) Attach full-length side rails to the client's bed:

While side rails may prevent falls out of bed, they can also increase the risk of entrapment and injury. The use of side rails is controversial and should be based on individualized assessment and risk-benefit analysis. In many cases, alternative interventions to prevent falls should be considered before resorting to side rails.

E) Place throw rugs on uncarpeted floors in the client's home:

Throw rugs can be tripping hazards, especially for older adults with mobility issues. They can easily slip or bunch up, leading to falls. Removing throw rugs or securing them firmly to the floor is recommended to reduce the risk of falls in the home.

A. Use diluted bleach to clean soiled equipment. B. Provide a room with negative-pressure airflow. C. Wear an N95 respirator when caring for the client. D. Disinfect hands using an alcohol-based waterless antiseptic.

Correct Answer is A

Explanation

A) Use diluted bleach to clean soiled equipment: This is the correct answer. Clostridium difficile is a bacterium that can form spores, which are resistant to many common disinfectants. Diluted bleach (sodium hypochlorite) is effective in killing C. difficile spores, making it an essential part of infection control protocols for clients with C. difficile infection. It is recommended to use a dilution of 1:10 bleach to water for environmental cleaning.

B) Provide a room with negative-pressure airflow: While negative-pressure rooms may be used for clients with certain airborne infections to prevent the spread of pathogens, it is not typically necessary for clients with C. difficile infection. Standard precautions, including meticulous hand hygiene and appropriate environmental cleaning, are the primary measures for preventing transmission.

C) Wear an N95 respirator when caring for the client: N95 respirators are recommended for healthcare workers caring for clients with airborne infections such as tuberculosis or certain respiratory viruses. C. difficile is transmitted primarily through contact with contaminated surfaces or feces, so standard precautions, including gloves and gowns, are sufficient for preventing transmission.

D) Disinfect hands using an alcohol-based waterless antiseptic: While alcohol-based hand sanitizers are effective against many types of bacteria and viruses, they may not be sufficient for eliminating C. difficile spores. Handwashing with soap and water is preferred for removing C. difficile spores from hands.

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A nurse in a long-term care facility is reviewing the facility documentation policies with a newly licensed nurse. Which of the following abbreviations should the nurse remind the newly licensed nurse to use when documenting care?

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