A nurse is accessing computerized data about a client recently transferred to a step-down unit. Which of the following forms should provide the nurse with the most comprehensive client information?
Medication administration record
Standardized care plan
180 record
Client care Kardex
The Correct Answer is D
A. Medication administration record:
The medication administration record (MAR) primarily contains information related to medications, dosages, and administration times. While it provides important details about medications, it may not offer a comprehensive overview of the client's overall care.
B. Standardized care plan:
A standardized care plan typically outlines general care guidelines and interventions for specific conditions. It may provide a structured approach to care but might lack the individualized details needed for a specific client.
C. 180 record:
The term "180 record" does not commonly refer to a standard nursing documentation form. It might be a local or facility-specific term. Without additional information, it's unclear what type of information this form would contain.
D. Client care Kardex:
This is the correct answer. The Client care Kardex, also known as the patient care summary or Kardex, is a document that consolidates key information about a client's care, including diagnoses, treatments, procedures, and other relevant details. It provides a snapshot of the client's current status and facilitates communication among healthcare providers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Fidelity: Fidelity refers to the concept of keeping promises and being faithful to commitments made to individuals. In this scenario, when the nurse states they will return as soon as possible with pain medication, they are making a commitment to the client and demonstrating fidelity by keeping that promise.
Justice: Justice pertains to fairness and the equitable distribution of resources. It is not directly related to the nurse's commitment to providing pain medication.
Autonomy: Autonomy involves respecting the individual's right to make decisions about their own care. While informing the client about the plan for pain medication is part of communication, the primary ethical principle being demonstrated here is fidelity.
Nonmaleficence: Nonmaleficence is the principle of doing no harm. While it is important in healthcare, the scenario described focuses more on the nurse's commitment to providing pain relief.
Correct Answer is D
Explanation
A. A staff member places a midstream urine sample in a specimen refrigerator after collecting it:
This is a proper practice. Refrigerating the sample after collection helps preserve its integrity and prevents bacterial growth until it can be analyzed.
B. A staff member wipes a countertop with chlorhexidine solution to clean the area following a blood spill:
This is a proper infection control practice. Chlorhexidine is an effective disinfectant, and cleaning the area following a blood spill helps prevent the spread of infectious agents.
C. A nurse uses alcohol-based antiseptic to clean his hands after talking with a client who has varicella zoster:
This is a proper practice. Alcohol-based antiseptic is effective in killing a broad spectrum of germs, and hand hygiene is crucial, especially after contact with a client who may have an infectious condition.
D. A nurse pours sterile 0.9% sodium chloride irrigation solution on an open pressure wound prior to collecting a specimen for culture:
This is an infection control hazard. Sterile saline irrigation should not be poured onto an open wound before specimen collection, as it can introduce contaminants and interfere with the accuracy of culture results. Specimens should be collected using aseptic technique to avoid contamination.
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