NURSING 102 Chapter 7 EAQ with Rationale

NURSING 102 Chapter 7 EAQ with Rationale The nurse records a patient's information as "skin at IV site reddened and slightly swollen." The nurse manager tells the nurse that the information is incomplete. Why is the information incomplete? The nursing assistant has missed location of the problem. The nursing assistant has missed the intensity of the problem. The nursing assistant has missed the nursing care given to the problem. The nursing assistant has missed recording the medical term for "reddening." Rationale The nurse has not recorded the nursing care given to the problem. Each problem needs to be attended to and recorded. For example, the nurse should add, "warm moist pack applied for 20 minutes" to the information, "skin at IV site reddened and slightly swollen." The nursing assistant has included the location of the problem as "skin at IV site." The nursing assistant has also recorded the intensity of the problem as "reddened and slightly swollen." There is no medical equivalent for reddening; therefore, the nursing assistant does not need to add the medical term for this.