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Exam (elaborations)

Nursing Documenting and Reporting Questions and Answers Already Passed

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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...

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  • September 1, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nursing
  • Nursing
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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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