Nursing Documenting and Reporting Questions and Answers Already Passed
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Course
Nursing
Institution
Nursing
Nursing Documenting and Reporting
Questions and Answers Already Passed
What key elements should be included when documenting a patient’s wound care?
The size, location, and appearance of the wound, the type of dressing applied, and the
patient’s response to the treatment.
How should a...
Nursing Documenting and Reporting
Questions and Answers Already Passed
What key elements should be included when documenting a patient’s wound care?
✔✔ The size, location, and appearance of the wound, the type of dressing applied, and the
patient’s response to the treatment.
How should a nurse document a patient’s response to physical therapy?
✔✔ Note the exercises performed, the patient’s level of comfort or discomfort, progress made,
and any modifications to the therapy.
What should be recorded when a patient expresses concerns about their treatment plan?
✔✔ Document the specific concerns raised, the patient’s rationale, any discussions held, and the
resolutions or adjustments made.
When documenting a patient’s vital signs, what additional information might be relevant?
✔✔ Include any patient activities prior to measurement, any symptoms experienced at the time,
and how the vital signs compare to previous measurements.
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, How should a nurse document a patient’s ability to perform activities of daily living (ADLs)?
✔✔ Record the specific ADLs assessed, the level of assistance required, and any changes in the
patient’s ability to perform these tasks independently.
What should a nurse include in documentation following a patient’s discharge from the hospital?
✔✔ The patient’s condition at discharge, any follow-up appointments or instructions given, and
the condition of the home environment if relevant.
How should changes in a patient’s mental status be documented?
✔✔ Describe any observed changes in cognition, mood, or behavior, including the time of
occurrence and any factors that may have contributed to the changes.
What information should be documented when a patient receives a new prescription?
✔✔ Document the medication name, dosage, administration route, any instructions given to the
patient, and the patient’s understanding of the new medication.
How should a nurse document a patient’s response to a dietary change?
✔✔ Record the type of dietary change, the patient’s adherence to the new diet, any symptoms or
reactions experienced, and any observed improvements or issues.
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