Which of the following statements is correct about abbreviations?
Every facility should have an approved abbreviations list.
Creating abbreviations saves time for the person reading the chart.
Writing out questionable abbreviations could make a jury think you're hiding something
Abbreviating drug name and dosages helps reduce medication errors.
The Correct Answer is A
A. Every facility should have an approved abbreviations list. Hospitals and healthcare settings maintain a list of approved abbreviations to ensure consistency and prevent misinterpretation.
B. Creating abbreviations saves time for the person reading the chart: Unapproved abbreviations can lead to confusion and errors, potentially harming the patient.
C. Writing out questionable abbreviations could make a jury think you're hiding something: Avoiding abbreviations improves clarity, and using full words is preferred in legal documentation.
D. Abbreviating drug names and dosages helps reduce medication errors: Abbreviating drug names can cause dangerous medication errors (e.g., MS can mean morphine sulfate or magnesium sulfate). The Joint Commission prohibits certain abbreviations.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The care plan: While important for care, the care plan alone does not provide a full picture of patient care over time.
B. The medical orders: Medical orders show physician instructions but do not capture the full scope of patient care.
C. The entire record: The entire medical record can be subpoenaed and used as legal evidence, including notes, orders, test results, and nursing documentation.
D. Nursing notes: Nursing notes are part of the medical record but do not represent the full legal documentation on their own.
Correct Answer is A
Explanation
A. Pain: Pain is the most immediate concern in this scenario. Managing pain is critical for comfort and preventing further complications.
B. Skin integrity: While skin integrity may be a concern (e.g., pressure ulcers if immobile), it is not the most urgent issue at admission.
C. Fluid volume: There is no mention of dehydration or blood loss. Fluid volume is not the primary concern.
D. Knowledge deficit: While patient education is important, managing pain takes priority over knowledge deficits in acute injuries.
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