Goldston

Which identifies accurate nursing documentation notations? (SATA)

-the client slept through the night -Abdominal wound dressing is dry and intact without drainage -the client's left lower medial leg wound is 3 cm in length without redness,drainage, or edema

The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action?

Report to the peds unit and identify tasks that can be safely performed

An unconscious client, bleeding profusely is brought to the emergency department after a serious accident. Surgery is required immediately to save the client's life. With reagrd to informed consent for the surgical procedure, which is the best action?

Transport the client to the operating department immediately without obtaining an informed consent.

The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the client and then tells the nursing supervisor and the PHCP to inform them of the occurence. The nurse completes the incident report for which purpose?

A method of promoting quality care and risk management

The nurse enters a client's room and notes that the client's lawyer is presnet and that the client is preparing a living will. The living will requires that the client's signature be witnessed, and the client asks the nurse to witness the signature. Whcih is the appropriate nursing action?

Decline to sign the will

The LPN enters a client's room and finds the clietn lying on the bathroom floor. The LPN calls the RN, who checks the client thoroughly and then assist the client back into bed. The LPN completes an incident report, and the nursing supervisor and PHCP are notified of the accident. WHich is the next nursing action regarding the incident?

Document a complete entry in the client's record concerning the incident