VNSG 1304: Chapter 9 Prep U Questions

A client with hemiplegia has been admitted to the health agency. The nurse who cares for the client has a fixed routine of cleaning, feeding, and administering medicines to the client. Which of the following should the nurse use to record these details?

Checklist

The primary care provider has implemented the use of a patient portal for his clients. A client who was diagnosed with hypertension 5 years ago has been struggling with adherence to the plan of care and, thus, had uncontrolled hypertension. Reminders about appointments and medication adherence and results of lab data are sent frequently to the client via email and text messages from the patient portal. The client, in turn, has been using the patient portal to research information about his disease, diet, exercise, and medications. After several months, what benefits would the client experience as a result of engaging in the use of the patient portal? Select all that apply.

Improved adherence to a medication regimen Participation in preventive health care Increased quality of life Better management of chronic health conditions Explanation: Patient portals encourage strong client engagement, which has shown benefits for the client. Clients who use a patient portal are more likely to adhere to a medication regimen, participate in preventive health care, better manage chronic health problems, and improve their quality of life. Patient portals provide a timely access. Patient portal use does not delay treatment and communication with the health care provider.

A concise document that provides most of the client's nursing and medical information is a(n):

Kardex. Explanation: The Kardex is a way to ensure continuity of care from one shift to another and from one day to the next.

A nurse in a long-term care facility is writing a note that addresses the care a resident has received during the day and the resident's response to care. What type of note does this represent?

Narrative note Explanation: A narrative note in a skilled nursing facility might include the type of morning care, nutritional intake, client activity pattern, and comfort measures provided, along with the client's response.

The nurse is documenting care for a client with diabetes. Which nursing documentation will The Joint Commission review? Select all that apply.

Nursing Care Provided Physical Assessment Nursing Diagnoses Client Teaching Explanation: The Joint Commission reviews nursing documentation containing assessment and reassessment, nursing diagnoses, client needs, nursing interventions, education, fall strategies, and nursing care. Another member of the healthcare team will secure method of payment.

To improve communication within the health care system, tools were created to standardize the process and assist with clarity and conciseness. SBAR is one such tool. In this tool, what does R stand for?

Recommendations Explanation: SBAR stands for Situation, Background, Assessment, and Recommendations.

The nurse charted the administration of preparation for a colonoscopy in the AM, in the progress notes of the client's paper chart, pictured above. Which correct documentation guidelines did the nurse use? Select all that apply.

Signed every entry Documented in chronologic order Identified the day and time for each entry Acknowledged the client's response to the medication Explanation: Correct charting guidelines include signing each entry with the nurse's initial of the first name, last name, and title. The nurse includes day and time for each entry and documents in chronological order. The nurse documented the client's response. The nurse did leave blanks in the charting. The nurse is to draw a single line from the last charting entry to the nurse's signature. This is to prevent any unauthorized entries by someone else.

A nurse has responded to a client's call light and the client has asked for assistance in transferring from the bed to the bathroom. However, the nurse has not previously been involved in the client's care and does not know the client's current activity orders. Where could the nurse most easily access this information?

The nursing Kardex Explanation: The nursing Kardex is a quick reference for current information about the client and his or her care. It contains information that includes activity orders. This information will be contained in other forms of client documentation, but is most readily accessible in the Kardex.

The client lives in a remote area and has been referred to a specialist who travels to the area once a month. The client's condition requires an appointment as soon as possible. The low-income client has no reliable transportation. What would the nurse do to facilitate access to the specialist for the client?

Use videoconferencing to access the specialist Explanation:Telemedicine provides access to specialists who are not in the same location as the client. It is imperative the client see the specialist as soon as possible. Making an appointment for the specialist in a month and sending the client's records through the mail do not allow speedy access. Making travel arrangements that include a bus ride and overnight stay at a motel may be an expense the client cannot afford.