Asked by Miranda A. Davis on Jun 10, 2024
Verified
According to documentation guidelines the most appropriate notation is
A) "1230 hours: Patient's vital signs taken."
B) "0700 hours: Patient drank adequate amount of fluids."
C) "0900 hours: Morphine given for lower abdominal pain."
D) "0830 hours: Increased IV fluid rate to 100 mL per hour."
Documentation Guidelines
Standards and principles that govern the accurate recording of patient care information and health records.
Vital Signs
Basic measurements of the body's most important functions, including temperature, pulse, respiration, and blood pressure.
Morphine
A powerful opiate analgesic drug derived from opium, used to relieve severe pain.
- Grasp the essential nature of meticulous and precise documentation in the administration of patient care.
Verified Answer
HZ
hanyun zhangJun 13, 2024
Final Answer :
D
Explanation :
Information within a recorded entry must be complete,containing appropriate and essential information.The notation "0830 hours: Increased IV fluid rate to 100 mL per hour" provides the time and action taken by the nurse,including the reason for doing so.The entry "1230 hours: Patient's vital signs taken" does not indicate what the patient's vital signs were.The entry "0700 hours: Patient drank adequate amount of fluids" does not provide the specific amount that the patient drank.Stating "adequate" is subjective,not objective.The notation "0900 hours: Morphine given for lower abdominal pain" does not indicate how the patient describes his or her pain or rates it on a pain scale for comparison later.It also does not indicate whether the patient's pain was in the lower left or lower right quadrant,or both.
Learning Objectives
- Grasp the essential nature of meticulous and precise documentation in the administration of patient care.
Related questions
Which Situation Best Indicates That the Nurse Has a Good ...
A Nurse Records the Following: Patient Is Wheezing and Experiencing ...
After Providing Care,a Nurse Charts in the Patient's Record ...
___________________ Provide a Format for Documenting a Patient's Health Status ...
The Patient Was in Bed with All Side Rails Up ...