the section of the patient's chart that contains observation caregiving and patient responses is
the section of the patient's chart that contains observation caregiving and patient responses is
Homework Answers
Thorough patient observation and its proper documentation are an
important part part of nurse’s role.
the section of the patient's chart that contains observation made by a nurse, care provided by nurses and patient responses are documented in nurses notes.
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the section of the patient's chart that contains
observation caregiving and patient responses is
List the parts of the patient's chart that assist the nurse in the collection of patient...
List the parts of the patient's chart that assist the nurse in the collection of patient data
Why would an order form be created in the patient's chart? Select one: a. Only if...
Why would an order form be created in the patient's chart? Select one: a. Only if the patient needs special medication ordered b. Only if the patient was not being seen as part of a normal office visit c. Order Templates are always created in the patient's chart only d, Only if the patient was being seen as part of a normal office visit o
A patient's chart has been subpoenaed for pending malpractice litigation. In preparing the chart, you discover...
A patient's chart has been subpoenaed for pending malpractice litigation. In preparing the chart, you discover an error that was made when the results of the laboratory report were incorrectly documented in the chart. You have the original laboratory report. What should you do? 3. Identify the steps you might take in inspecting a patients paper chart before filing reports or other patient information. Or if the clinic uses electronic medical records (EMR) what would you check before scanning a...
Nursing diagnosis: chronic pain what are the 4 evaluation/patient responses? 11 DE A A A A...
Nursing diagnosis: chronic pain
what are the 4 evaluation/patient responses?
11 DE A A A A A A A A E EU E @ E: O: A T AaBbCcDdEe Normal Text Box Shape Picture - Rationale Evaluation/Patient Response Implementation/Nursing intervention(s): Plan activities around periods of greatest comfort to the patient whenever possible Pain diminishes activity Recognize the patient's pain experience bain Recognizing a patient's in pain promotes a more cooperative nurse- patient relationship Explore the need for medications Pain medications...
nursing diagnosis: chronic pain what are the 4 evaluation/patient responses? 11 DE A A A A...
nursing diagnosis: chronic pain
what are the 4 evaluation/patient responses?
11 DE A A A A A A A A E EU E @ E: O: A T AaBbCcDdEe Normal Text Box Shape Picture - Rationale Evaluation/Patient Response Implementation/Nursing intervention(s): Plan activities around periods of greatest comfort to the patient whenever possible Pain diminishes activity Recognize the patient's pain experience bain Recognizing a patient's in pain promotes a more cooperative nurse- patient relationship Explore the need for medications Pain medications...
Date of Visit: 06/30/2019 Patient Chart DOB: 05/31/1955 Patient's Name: Daily, Irene Phyllis Pt weight: 156...
Date of Visit: 06/30/2019 Patient Chart DOB: 05/31/1955 Patient's Name: Daily, Irene Phyllis Pt weight: 156 Ibs Diagnosis: Urinary Tract Infection Treatment plan: Bactrim regimen Medications prescribed, including dosing information and frequency 40 mg/kg/day divided twice daily for ten days 0/40/5 ml suspension, no tablets Route of administration: oral, Treating Physician: Mydoc Tor, DO Prescription from Generic Medical Associates, LLC DOB Patient's Name: Date: Medication: Total Quantity: Instructions for administration: Prescribing Physician: Refills:
nursing diagnosis: constipation what are the 4 evaluation/patient responses? - ABE A A2 A A 20:45...
nursing diagnosis: constipation
what are the 4 evaluation/patient responses?
- ABE A A2 A A 20:45 Normal Teod Box Shape Pieture Rationale: Implementation/Nursing intervention(s): Increase patient's fluids Evaluation/Patient Response: Sufficient fluids is need to keep stool soft Increase patient's intake of dietary fiber to at least 20 g per day. Fiber adds bulk to stool and makes defecation easier for the patient Movement will promote peristalsis Assist patient with physical activity and exercise Eliminate any fecal impaction Stool remaining in...
Patient Chart Date of Visit: 06/30/2019 Patient's Name: Lee, Man DOB: 03/21/1960 Pt weight: 183.2 lbs...
Patient Chart Date of Visit: 06/30/2019 Patient's Name: Lee, Man DOB: 03/21/1960 Pt weight: 183.2 lbs Diagnosis: Low Testosterone levels Treatment plan: Injectible testosterone Medications prescribed, including dosing information and frequency Testosterone Cypionate injection, 4.8 mg/kg/14 days, once biweekly, follow up visit in 6 months, 5 refills Route of administration: intramuscular, 30 mg/1.5mL suspension Treating Physician: Mydoc Tor, DO Prescription from Generic Medical Associates, LLC Patient's Name: DOB: Date: Medication: Total Quantity: Instructions for administration: Prescribing Physician: Refills:
what are the 4 evaluation/patient responses? Nursing Diagnosis: Anxiety Evaluation/ patient Implementation / nursing rationale: response:...
what are the 4 evaluation/patient responses?
Nursing Diagnosis: Anxiety Evaluation/ patient Implementation / nursing rationale: response: 1 Intervention. Ouse presence, touch. Being supportive | communication to and approachable remind patients they promotes communication are not alone. (2) The nurse can (2) Interact with patient transmit their in a peaceful manner lown anxiety to the hypersensitivity (3) Accept patient's Ipatient defenses; do not dare, arque or debate 3 Items detenses are not threatened, 4 Lesson sensory stimuin the patient may by...
Patient Confidentiality Activity assistants must observe laus regarding both patient confidentiality and the patient's right to...
Patient Confidentiality Activity assistants must observe laus regarding both patient confidentiality and the patient's right to privacy, it is crucial for the medical assistant to understand and com governing issues of patient confidentiality. Indicate by marking the appropriate box whether the medical assistant may discuss a patient's medical condition or reveal details from the medical record. ply with legal and ethical principles and the restrictions Yes No Yes, with Signed Release Patient's spouse or family member Patient's employer Patient's attorney...
Why would an order form be created in the patient's chart? Select one: a. Only if the patient needs special medication ordered b. Only if the patient was not being seen as part of a normal office visit c. Order Templates are always created in the patient's chart only d, Only if the patient was being seen as part of a normal office visit o
Nursing diagnosis: chronic pain
what are the 4 evaluation/patient responses?
11 DE A A A A A A A A E EU E @ E: O: A T AaBbCcDdEe Normal Text Box Shape Picture - Rationale Evaluation/Patient Response Implementation/Nursing intervention(s): Plan activities around periods of greatest comfort to the patient whenever possible Pain diminishes activity Recognize the patient's pain experience bain Recognizing a patient's in pain promotes a more cooperative nurse- patient relationship Explore the need for medications Pain medications...
nursing diagnosis: chronic pain
what are the 4 evaluation/patient responses?
11 DE A A A A A A A A E EU E @ E: O: A T AaBbCcDdEe Normal Text Box Shape Picture - Rationale Evaluation/Patient Response Implementation/Nursing intervention(s): Plan activities around periods of greatest comfort to the patient whenever possible Pain diminishes activity Recognize the patient's pain experience bain Recognizing a patient's in pain promotes a more cooperative nurse- patient relationship Explore the need for medications Pain medications...
Date of Visit: 06/30/2019 Patient Chart DOB: 05/31/1955 Patient's Name: Daily, Irene Phyllis Pt weight: 156 Ibs Diagnosis: Urinary Tract Infection Treatment plan: Bactrim regimen Medications prescribed, including dosing information and frequency 40 mg/kg/day divided twice daily for ten days 0/40/5 ml suspension, no tablets Route of administration: oral, Treating Physician: Mydoc Tor, DO Prescription from Generic Medical Associates, LLC DOB Patient's Name: Date: Medication: Total Quantity: Instructions for administration: Prescribing Physician: Refills:
nursing diagnosis: constipation
what are the 4 evaluation/patient responses?
- ABE A A2 A A 20:45 Normal Teod Box Shape Pieture Rationale: Implementation/Nursing intervention(s): Increase patient's fluids Evaluation/Patient Response: Sufficient fluids is need to keep stool soft Increase patient's intake of dietary fiber to at least 20 g per day. Fiber adds bulk to stool and makes defecation easier for the patient Movement will promote peristalsis Assist patient with physical activity and exercise Eliminate any fecal impaction Stool remaining in...
Patient Chart Date of Visit: 06/30/2019 Patient's Name: Lee, Man DOB: 03/21/1960 Pt weight: 183.2 lbs Diagnosis: Low Testosterone levels Treatment plan: Injectible testosterone Medications prescribed, including dosing information and frequency Testosterone Cypionate injection, 4.8 mg/kg/14 days, once biweekly, follow up visit in 6 months, 5 refills Route of administration: intramuscular, 30 mg/1.5mL suspension Treating Physician: Mydoc Tor, DO Prescription from Generic Medical Associates, LLC Patient's Name: DOB: Date: Medication: Total Quantity: Instructions for administration: Prescribing Physician: Refills:
what are the 4 evaluation/patient responses?
Nursing Diagnosis: Anxiety Evaluation/ patient Implementation / nursing rationale: response: 1 Intervention. Ouse presence, touch. Being supportive | communication to and approachable remind patients they promotes communication are not alone. (2) The nurse can (2) Interact with patient transmit their in a peaceful manner lown anxiety to the hypersensitivity (3) Accept patient's Ipatient defenses; do not dare, arque or debate 3 Items detenses are not threatened, 4 Lesson sensory stimuin the patient may by...
Patient Confidentiality Activity assistants must observe laus regarding both patient confidentiality and the patient's right to privacy, it is crucial for the medical assistant to understand and com governing issues of patient confidentiality. Indicate by marking the appropriate box whether the medical assistant may discuss a patient's medical condition or reveal details from the medical record. ply with legal and ethical principles and the restrictions Yes No Yes, with Signed Release Patient's spouse or family member Patient's employer Patient's attorney...
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