Documenting Nursing Activities (Record System Used in an Agency)
Documenting Nursing Activities (Record System Used in an Agency) ( 27 Questions)
A nurse is preparing to report a change in a client’s condition to another health care provider.
What should the nurse include in the report?
A summary of all the interventions performed since admission is too broad and may not reflect the current situation of the client.
A description of how the nurse feels about the client’s situation is subjective and may not be helpful for the other health care provider.
A comparison of the client’s condition with other similar cases is not specific to the individual client and may not account for differences in factors such as age, comorbidities, or preferences.
A statement of facts, changes, trends, and responses to treatment. This is the best way to report a change in a client’s condition to another health care provider because it provides clear, concise, and relevant information that can help with decision making and continuity of care.
A statement of facts, changes, trends, and responses to treatment. This is the best way to report a change in a client’s condition to another health care provider because it provides clear, concise, and relevant information that can help with decision making and continuity of care.
Choice A is wrong because a summary of all the interventions performed since admission is too broad and may not reflect the current situation of the client.
Choice B is wrong because a description of how the nurse feels about the client’s situation is subjective and may not be helpful for the other health care provider. Choice C is wrong because a comparison of the client’s condition with other similar cases is not specific to the individual client and may not account for differences in factors such as age, comorbidities, or preferences.
Normal ranges for vital signs, laboratory values, and other parameters may vary depending on the source and the context, but some common examples are:.
• Temperature: 36.5°C to 37.5°C (97.7°F to 99.5°F).
• Pulse: 60 to 100 beats per minute.
• Respirations: 12 to 20 breaths per minute.
• Blood pressure: less than 120/80 mm Hg.
• Oxygen saturation: greater than 95%.
• Blood glucose: 4.0 to 7.8 mmol/L (72 to 140 mg/dL).
• Hemoglobin: 13.5 to 17.5 g/dL for males, 12.0 to 15.5 g/dL for females.
• White blood cell count: 4.0 to 11.0 x 10^9/L.
• Platelet count: 150 to 400 x 10^9/L.