A nursing student uses an uncommon and unrecognized abbreviation when charting on a patient.
While re-educating the student nurse, what reasoning should the nurse provide for not using uncommon and unrecognized abbreviations?

"The medical record is a legal document and using abbreviations is forbidden.”.

"Abbreviations should only be used when charting units of measurement!".

"Uncommon and unrecognized abbreviations could be misunderstood and compromise patient safety.”.

"Uncommon and unrecognized abbreviations can be used if you first provide education to the nursing staff on what they mean.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The statement that abbreviations are forbidden on a medical record is not entirely accurate. While there are specific abbreviations that should be avoided, not all abbreviations are forbidden. The key is to use recognized and standard abbreviations to prevent misunderstandings.

Choice B rationale:

The statement about using abbreviations only for units of measurement is too restrictive. Abbreviations can be used for various purposes in medical charting, but it is crucial to ensure they are standard, recognized, and widely understood to maintain clarity and patient safety.

Choice C rationale:

Uncommon and unrecognized abbreviations could indeed be misunderstood, leading to misinterpretation of important information. This misunderstanding could compromise patient safety by affecting treatment decisions or medication administration. Using standardized and commonly accepted abbreviations ensures clear communication among healthcare professionals.

Choice D rationale:

Allowing the use of uncommon and unrecognized abbreviations with staff education does not guarantee patient safety. Educating staff about these abbreviations might mitigate some risks, but misunderstandings can still occur, especially in high-stress situations or when dealing with staff turnover. Standardized communication methods are essential to prevent errors.

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

Explanation

Choice A rationale:

Electronic medical records being available even during a power outage is a significant advantage. This ensures healthcare providers can access critical patient information, which is essential for patient safety and continuity of care, especially during emergencies.

Choice B rationale:

Timely documentation is facilitated by electronic charting, as it eliminates the delays associated with manual paperwork. Healthcare providers can input data efficiently, reducing the risk of errors and ensuring that the patient's information is up-to-date.

Choice C rationale:

The patient's electronic medical record being available to all members of the healthcare team simultaneously promotes collaborative and coordinated care. This real-time access enables healthcare professionals to make informed decisions based on the most recent patient data, leading to improved patient outcomes.

Choice D rationale:

Continuous updates in the electronic medical record system enhance continuity of care. The ability to access the most recent information ensures that all healthcare providers are aware of the patient's current status, ongoing treatments, and any changes in their condition. This knowledge is vital for delivering safe and effective care.

A. Weight-bearing activities to stimulate joint relaxation. B. Exercises to strengthen flexor muscles. C. Range of motion exercises to prevent worsening of contractures. D. Frequent position changes to reverse the contractures.

Correct Answer is C

Explanation

Choice A rationale:

Weight-bearing activities are not suitable for a patient with contractures, as they may worsen joint stiffness and discomfort. Engaging in weight-bearing activities could lead to further limitations in joint mobility and exacerbate the contractures.

Choice B rationale:

Exercises to strengthen flexor muscles might be beneficial in other contexts, but for a patient with contractures, the focus should be on improving joint mobility and preventing the contractures from worsening. Strengthening exercises do not directly address the issue of limited joint mobility caused by contractures.

Choice C rationale:

Range of motion exercises are essential for patients with contractures. These exercises involve moving joints through their full range of motion to maintain or improve joint flexibility. Regularly performing range of motion exercises prevents further tightening of muscles and joints, thereby preventing the worsening of contractures.

Choice D rationale:

Frequent position changes are important to prevent pressure ulcers and maintain overall comfort, but they do not specifically address the issue of contractures. While position changes are necessary, they are not the primary intervention for managing contractures.

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A nursing student uses an uncommon and unrecognized abbreviation when charting on a patient.While re-educating the student nurse, what reasoning should the nurse provide for not using uncommon and unrecognized abbreviations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A facility is moving from paper to electronic charting.The nurse manager explains what to be the advantages of electronic charting? Select all that apply.

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

Explanation

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Correct Answer is C

Explanation

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A nursing student uses an uncommon and unrecognized abbreviation when charting on a patient.While re-educating the student nurse, what reasoning should the nurse provide for not using uncommon and unrecognized abbreviations?

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A nursing student uses an uncommon and unrecognized abbreviation when charting on a patient.
While re-educating the student nurse, what reasoning should the nurse provide for not using uncommon and unrecognized abbreviations?