A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?

"No changes noted to the wound from previous nursing notes.".

"New dressing applied as prescribed; no drainage on old dressing.".

"The wound seems clean and does not appear to be infected.".

"Client premedicated with MSO4 subq prior to dressing change.".

Answer and Explanation

The Correct Answer is B

The nurse’s entry “New dressing applied as prescribed; no drainage on old dressing” demonstrates correct documentation because it includes specific details about the wound and the dressing change.
Choice A is wrong because it does not provide specific details about the wound or the dressing change.
Choice C is wrong because it includes subjective language (“seems” and “does not appear”) rather than objective observations.
Choice D is wrong because it only documents medication administration and does not provide any information about the wound or the dressing change.

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Correct Answer is C

Explanation

“This test will provide information about the function of your liver.” An alanine aminotransferase (ALT) test measures the level of ALT in the blood, which is an enzyme found primarily in the liver.

Elevated levels of ALT can indicate liver damage or disease.

Choice A, “This test will indicate if you are at risk for developing blood clots,” is not correct as an ALT test does not provide information about blood clot risk.

Choice B, “This test will determine if your heart is performing properly,” is not correct as an ALT test does not provide information about heart function.

Choice D, “This test is used to check how your kidneys are working,” is not correct as an ALT test does not provide information about kidney function.

A. "You are required to sign advance directives prior to having surgery." B. "Your provider must sign the advance directives before surgery." C. "You will receive written information about advance directives prior to signing." D. "Your partner must be present when you sign the advance directives."

Correct Answer is C

Explanation

This statement indicates that the client will be provided with information about advance directives before making a decision.
Advance directives are legal documents that allow individuals to communicate their wishes for medical treatment in the event that they are unable to make decisions for themselves.
Choice A is wrong because signing advance directives is not a requirement for undergoing surgery.
Choice B is wrong because the provider does not need to sign the advance directives.
Choice D is wrong because the presence of a partner is not required when signing advance directives.

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A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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