Which of the Following Chart Entries Represents a Pitfall in Documentation

question 26

Multiple Choice

Which of the following chart entries represents a pitfall in documentation?

• A) Restless and combative; SaO2 87%
• B) Patient demanding and difficult to please
• C) Discovered in bathroom; instructed to ask for assistance before ambulating
• D) Three-centimeter area of serosanguineous drainage noted on the dressing to the left hip

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Definitions:

Laterally Rotates

The action of rotating a limb or an organ away from the midline of the body.

Medially Rotates

The action of rotating a limb or organ toward the central axis of the body.

Adducts

To adduct is to move a limb or other body part toward the central axis of the body.

Abducts

Refers to the movement of a limb or other part away from the midline of the body or from another part.