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Documentation of Nursing Care Questions and Answers 100% Pass
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Documentation of Nursing Care Questions and Answers 100% Pass How should a nurse document a patient's response to a new medication? The nurse should document the time the medication was administered, the patient's response, any side effects observed, and the effectiveness of the medication i...

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  • September 1, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • documentation of nursing care questions and answer

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  • Nursing Care
  • Nursing Care

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Documentation of Nursing Care
Questions and Answers 100% Pass


How should a nurse document a patient's response to a new medication?


✔✔ The nurse should document the time the medication was administered, the patient's

response, any side effects observed, and the effectiveness of the medication in addressing the

condition.




What is the importance of documenting the patient’s discharge instructions?


✔✔ Documenting discharge instructions is important to ensure that the patient has clear

guidelines for home care, understands medication regimens, follow-up appointments, and knows

what symptoms to report.




How should a nurse handle documentation when transferring a patient to another healthcare

facility?


✔✔ The nurse should ensure that all relevant patient information, including medical history,

current treatment plans, and recent observations, is accurately documented and transferred to the

receiving facility's records.




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, What information should be included when documenting a patient’s refusal of care?


✔✔ Documentation should include the specific care or treatment refused, the reasons provided

by the patient, any education given about the risks of refusal, and the patient’s understanding of

the consequences.




How does documenting patient safety incidents contribute to improving care?


✔✔ Documenting patient safety incidents helps identify patterns or recurring issues, facilitates

investigation and resolution, and contributes to quality improvement efforts to prevent future

occurrences.




What should be recorded if a nurse administers a treatment not included in the original care plan?


✔✔ The nurse should document the reason for the deviation, the details of the treatment

administered, the patient’s response, and any communication with the healthcare provider

regarding the change.




Why is it important to document changes in a patient’s condition promptly?


✔✔ Prompt documentation of changes in a patient’s condition is crucial for timely intervention,

accurate record-keeping, and ensuring that all healthcare providers are aware of the current state

of the patient.




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