A Nurse Is Charting

question 14

Multiple Choice

A nurse is charting. Which information is critical for the nurse to document?

• A) The patient had a good day with no complaints.
• B) The family is demanding and argumentative.
• C) The patient received a pain medication, Lortab.
• D) The family is poor and had to go on welfare.

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Definitions:

Metabolic Syndrome

A cluster of conditions including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, which together increase the risk of heart disease, stroke, and diabetes.

Braden Score

A scale used to predict the risk of developing pressure ulcers by evaluating factors such as sensory perception, moisture, activity, mobility, nutrition, and friction or shear.

Mobility Limitations

Restrictions or difficulties in moving, ranging from mild difficulty walking to complete inability to move without assistance.

Nutritious Diet

A balanced eating plan that includes all the nutrients your body needs for healthy functioning, obtained from a variety of foods.