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Which assessment should the nurse document when charting by exception?

A.

Active bowel sounds in the lower right quadrant.

B.

Contraction of the left pupil when light shines in the right eye.

C.

Basilar lung sounds that are diminished in the left lung.

D.

Capillary refill of 2 seconds in the lower right foot.

Answer and Explanation

The Correct Answer is C

Choice A rationale


Active bowel sounds in the lower right quadrant are a normal finding and do not deviate from the established norm or expected outcome. Therefore, they do not need to be documented when charting by exception.

 

Choice B rationale

 

Contraction of the left pupil when light shines in the right eye is a normal consensual pupillary response. This is an expected finding and does not need to be documented when charting by exception.

 

Choice C rationale

 

Basilar lung sounds that are diminished in the left lung are not within normal limits and deviate from the expected outcome. This abnormal finding should be documented when charting by exception.

 

Choice D rationale

 

Capillary refill of 2 seconds in the lower right foot is a normal finding and does not deviate from the established norm or expected outcome. Therefore, it does not need to be documented when charting by exception.


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View Related questions

Correct Answer is ["A","C","E","G"]

Explanation

Choice A rationale

Measuring vital signs at 0800 is a standard practice in many healthcare settings to establish a baseline for the day.

Choice B rationale

Measuring vital signs at 1000 is not typically a standard time unless there is a specific clinical indication.

Choice C rationale

Measuring vital signs at 1200 helps monitor the client’s status around midday and can be important for assessing the effects of morning medications or treatments.

Choice D rationale

Measuring vital signs at 1400 is not typically a standard time unless there is a specific clinical indication.

Choice E rationale

Measuring vital signs at 1600 helps monitor the client’s status in the afternoon and can be important for assessing the effects of afternoon medications or treatments.

Choice F rationale

Measuring vital signs at 1800 is not typically a standard time unless there is a specific clinical indication.

Choice G rationale

Measuring vital signs at 2000 helps monitor the client’s status in the evening and can be important for assessing the effects of evening medications or treatments.

Correct Answer is A

Explanation

Choice A rationale

Beginning with queries that are less sensitive in nature can help establish rapport and trust with the client. This approach makes the client more comfortable and willing to disclose personal information, including details about sexual activity.

Choice B rationale

Asking queries in a vague, non-specific format may lead to confusion and incomplete information. It is important to ask clear and direct questions to obtain accurate information.

Choice C rationale

Getting the most difficult queries over with first may cause the client to feel uncomfortable and defensive, making it harder to obtain accurate information.

Choice D rationale

Sharing personal values to put the client at ease is not appropriate in a professional setting. The nurse should maintain a neutral and non-judgmental approach to encourage open communication.

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