Nursing Fundamentals: Documenting and Reporting Questions and Answers Rated A+
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Module
Nursing Fundamentals:
Institution
Nursing Fundamentals:
Nursing Fundamentals: Documenting
and Reporting Questions and Answers
Rated A+
What should a nurse document when observing a patient’s change in mobility?
Describe the type of mobility change, the patient’s ability to perform movements, any
assistance required, and the observed impact...
Nursing Fundamentals: Documenting
and Reporting Questions and Answers
Rated A+
What should a nurse document when observing a patient’s change in mobility?
✔✔ Describe the type of mobility change, the patient’s ability to perform movements, any
assistance required, and the observed impact on their daily activities.
How should a nurse document an unexpected event, such as a fall, in a patient’s room?
✔✔ Record the event’s details, the time and location, the patient’s condition immediately
following the event, and the interventions taken.
What information is essential when documenting a patient’s consent for a procedure?
✔✔ Note the procedure consented to, the patient’s understanding of the procedure, and the date
and time of consent.
When documenting a patient’s nutritional intake, what specific details should be included?
✔✔ Record the types and amounts of food and fluids consumed, the time of intake, and any
changes in the patient’s eating habits or preferences.
1
, How should a nurse document a patient’s emotional reaction to a diagnosis?
✔✔ Document the patient’s expressed feelings, any verbal or non-verbal signs of distress, and
the impact on their coping and treatment adherence.
What details should be included in documentation of a patient’s sleep patterns?
✔✔ Include the patient’s sleep duration, quality of sleep, any disturbances, and how sleep
patterns affect their overall health and daily functioning.
How should changes in a patient’s skin condition be documented?
✔✔ Note the appearance of any new skin lesions or changes, the location and size, any
symptoms reported by the patient, and any interventions applied.
What should be recorded if a patient is non-compliant with their treatment plan?
✔✔ Document the specific treatments or instructions the patient did not follow, any reasons
given by the patient, and the steps taken to address non-compliance.
How should a nurse document a patient’s response to a change in their care plan?
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