Which is a recommended guideline for safe computerized charting? - Passwords to the
computer system should only be changed if lost.
2.
Computer termina... [Show More] ls may be left unattended during client-care activities.
3.
Accidental deletions from the computerized file need to be reported to the nursing manager or
supervisor. (correct)
4.
Copies of printouts from computerized files should be kept on a clipboard at the nurses'
station for other nurses to access.
rationale: After any inadvertent deletions of permanent computerized records, the nurse
should type an explanation into the computer file with the date, time, and his or her initials.
The nurse should also contact the nursing manager or supervisor with a written explanation of
the situation. Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
guidelines for safe computer charting.
The licensed practical nurse (LPN) enters a client's room and finds the client sitting on the
floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists
the client back into bed. The LPN completes an incident report, and the nursing supervisor
and health care provider (HCP) are notified of the incident. Which is the next nursing action
regarding the incident? - Place the incident report in the client's chart.
2.
Make a copy of the incident report for the HCP.
3.
Document a complete entry in the client's record concerning the incident. (correct)
4.
Document in the client's record that an incident report has been completed
RATIONALE: The incident report is confidential and privileged information, and it should
not be copied, placed in the chart, or have any reference made to it in the client's record. The
incident report is not a substitute for a complete entry in the client's record concerning the
incident.
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 regard to
informed consent for the surgical procedure, which is the best action? - Call the nursing
supervisor to initiate a court order for the surgical procedure.
2.
Try calling the client's spouse to obtain telephone consent before the surgical procedure.
3.
Ask the friend who accompanied the client to the emergency department to sign the consent
form.
4.
Transport the client to the operating department immediately, as required by the health care
provider, without obtaining an informed consent. (CORRECT)
RATIONALE: Generally there are only two instances in which the informed consent of an
adult client is not needed. One instance is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would result in injury or death to the
client. The second instance is when the client waives the right to give informed consent.
Options 1, 2, and 3 are inappropriate
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? - .
Call the hospital lawyer.
2.
Call the nursing supervisor.
3.
Refuse to float to the pediatric uni [Show Less]
