A nurse is reviewing the medical record of a child who is scheduled to receive a varicella immunization. Which of the following findings in the client's record should the nurse recognize as a contraindication?

"I should decrease my salt intake to 2 grams per day." - This statement is correct. Decreasing salt intake is an important dietary modification for individuals with hypertension. The general recommendation is to limit sodium intake to 2 grams per day or less. Reducing salt intake can help lower blood pressure levels.

"I can have two glasses of wine with dinner." - This statement is not accurate. While moderate alcohol consumption may have some health benefits, it is generally recommended to limit alcohol intake, especially for individuals with hypertension. The specific recommendation for alcohol consumption may vary depending on individual factors and should be discussed with a healthcare provider.

"I will set my blood pressure goal at 130 over 84." - This statement is not accurate. The blood pressure goal for individuals with hypertension is generally set at 130 over 80 or lower. It is important for the client to work with their healthcare provider to determine an appropriate blood pressure goal based on their specific situation.

"I should exercise for 15 minutes two times per week." - This statement is not accurate. While any amount of physical activity is beneficial, the current recommendations for adults include at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week, along with muscle-strengthening activities on two or more days. The client should aim for a higher frequency and duration of exercise to achieve optimal health benefits.

Incident report

When a nurse makes a medication error, such as administering an incorrect dose or an extra dose, it is important to document the incident in an incident report. Incident reports are confidential documents that provide a record of the event, facilitate communication among healthcare providers, and allow for further investigation and analysis to prevent future errors.

Provider's progress notes in (option A) is incorrect. The provider's progress notes are typically used to document the provider's assessment, diagnosis, treatment plan, and progress of the client. Medication errors made by nursing staff are not typically documented in the provider's progress notes.

Controlled substance inventory record in (option C) is incorrect. The controlled substance inventory record is used to track the administration and use of controlled substances. It may not be the appropriate location to document a medication error. However, it is important to follow institutional policies regarding the documentation of medication errors involving controlled substances.

Nursing care plan in (option D) is incorrect. The nursing care plan is a document that outlines the nursing diagnoses, goals, interventions, and evaluations related to the client's care. While medication administration may be a part of the nursing care plan, documenting a medication error in this location is not the standard practice. Incident reports are specifically designed for reporting and documenting errors or incidents that occur during client care.