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LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED QUESTIONS AND ANSWERS GRADED A+ LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED QUESTIONS AND ANSWERS GRADED A+ LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED QUESTIONS AND ANSWERS GRADED A+ LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED QUESTIONS AND AN...

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LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED
QUESTIONS AND ANSWERS GRADED A+


1.The nurse is providing care for a patient who is unhappy with the health
care provider's care. The patient signs the Against Medical Advice (AMA)
form and leaves the hospital against medical advice. What should the
nurse include in the documentation of this event in the patient's medical
record or on the AMA form? Select all that apply.

1. Documentation that the patient was informed that he or she cannot come
back to the hospital
2. Documentation that the patient was informed that he or she was
leaving against medical advice
3. Documentation that the risks of leaving against medical advice were
explained to the patient
4. Documentation of any discharge instructions given to the patient
5. Documentation indicating an incident report has been completed

2,3,4 Rationale 1: It should be clearly documented that the patient was
advised and understands that he or she can come back. Rationale 2: It
should be clearly documented in the patient’s record and on the AMA form
that the patient was advised that he or she was leaving against medical
advice. Rationale 3: It should be clearly documented that the patient
understands the risks of leaving against medical advice. Rationale 4: The
AMA form includes the name of the person accompanying the patient and
any discharge instructions given. Rationale 5: Facility policy may require
that an incident report be completed, but it must not be referenced in the
chart. The patient record is a legal document, so the nurse should never
document that he or she filed an incident report.


2.A nurse documents this statement in a patient's medical record: "2/25/-,
2235. At 2015 patient awoke suddenly and complained of shortness of air.
Pulse oximetry reading was 82% on room air and audible wheezes could
be heard." This documentation meets which documentation guidelines?
SATA
1. Documentation istimely
2. Documentation is concise
3. Documentation is objective
4. Documentation includes date and time of entry
5. Documentation is complete and accurate

2,3,4,5 Rationale 1: The nurse should document as soon as possible after
an observation is made or care is provided. The entry was made in the
patient's medical record at least 2 hours after the patient complaint and

,LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
should be labeled late entry. Rationale 2: This entry describes the situation
fully but is concise. Rationale 3: The nurse describes factual events that
can be seen, heard, smelled, or touched. It is important to be objective and
avoid vague statements that are subjective. Rationale 4: Both the date and
the time of the entry are documented. Rationale 5: The nurse should
document only facts: what he or she can see, hear, and do.

,LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED
QUESTIONS AND ANSWERS GRADED A+


3.A nurse documents the following in a patient's medical record: "2/1/ ,
1500. Patient appears weak and faint. Patient's skin is moist and cool,
vomited bright red blood with clots. Health care provider notified and order
received to give 2 u of packed red blood cells if stat Hgb is < 8.0. Pain
medication will be given." This documentation meets which documentation
principle?
1. Document objectively.
2. Do not document procedures in advance.
3. Use approved abbreviations.
4. Document changes in patient

condition 4

In general, employers as well as state, federal, and professional standards
require documentation to include initial and ongoing assessments, any
change in the patient's condition, therapies given and patient response,
patient teaching, and relevant statements by the patient.


4.A nursing unit has changed its documentation system to documenting by
exception. How will this system save time?
1. It eliminates lengthy or repetitive documentation.
2. It allows flexibility and description in the documentation.
3. It allows the reader to easily locate information about a specific problem.
4. It allows for quick and easy retrieval of information.

1 Rationale 1: Documenting by exception eliminates lengthy or repetitive
documentation. Rationale 2: Flexible and descriptive documentation is an
advantage of the narrative system. Rationale 3: PIE charting allows easy
location of information about a specific problem. Rationale 4: The electronic
health record allows for quick and easy retrieval of information.


5.A hospital is considering changing its documentation system to reduce
the number of medication errors. Which system should the hospital
investigate?
1. Problem, intervention, evaluation (PIE)system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system

2
The electronic medical record decreases errors and allows for the

, LPN MED SURG HESI 2023/2024 WITH 99 VERIFIED
QUESTIONS AND ANSWERS GRADED A+

reconciliation of the patient's medications on admission, daily, and on
discharge.


6.Which nursing activities are examples of independent functions of the
nursing role?
1. Teaching a soon-to-be-discharged patient about the medication regimen
that the health care

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