The nurse has just completed his shift and is frustrated about several communication
errors that occurred during the shift. The nurse's review of these situations is called: -
Answer Reflection
A patient is having trouble reaching the water fountain while holding on to crutches. The
nurse suggests that the patient place the crutches against the wall while stabilizing him
or herself with two hands on the water fountain. Which critical thinking attitude did the
nurse use in this situation? - Answer Creativity
The nurse is caring for a patient who becomes nauseated and vomits without warning.
The nurse has contaminated hands. Which action is best for the nurse to take next? -
Answer Wash hands with antimicrobial soap
The nurse is caring for a patient who has just delivered a neonate. The nurse is checking
the patient for excessive vaginal drainage. Which precaution will the nurse use? -
Answer Standard
Which behavior indicates that the students nurse has a good understanding of
confidentiality and the Health insurance Portability and Accountability Act (HIPAA)? -
Answer d. Reads the progress notes of assigned patient's record
You are developing a nursing diagnosis (3 part PES statement) for a patient with a
bathing self care deficit. Which of the following observations will you include in the r/t
(related to) section (SELECT ALL THAT APPLY) - Answer - pain
- ROM
- fatigue
A nurse obtained a telephone order from a physician for a patient in pain. Which chart
entry should the nurse document? - Answer READ BACK
• Make sure you have all the information (dosage, frequency, spelling of MD name...)
Transcribe the order
• Date/time
• Exact
You are developing a 3 part PES nursing diagnostic statement for your patient. Below is
your progress so far
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