Exam Top - Rated Rational Solutions
A nurse is preparing information for a change of shift report. Which of the following
information should the nurse include in the report?
A. Input and output for the shift
B. Blood pressure from the previous day
C. Bone scan scheduled for today
D. Medication routine from the medication administration record. - ANSWER-C. Bone
scan scheduled for the day
The bone scan is important because the nurse might have to modify the client's care to
accommodate leaving the unit.
A charge nurse is reviewing documentation with a group of newly licensed nurses.
Which of the following legal guidelines should be followed when documenting in a
client's record? Select all that apply.
A. Cover errors with correction fluid and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document - ANSWER-BC (p. 25 for rationale)