COMPREHENSIVE EXAM STUDYGUIDE!
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Which is a recommended guideline for safe computerized
charting? - ✔✔Passwords to the computer system should only
be changed if lost.
2.
Computer terminals 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.