Difficulty: Medium
Average Score: 85%
Simulated
A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?
Correct answer
D
Rationale
The correct answer is D. The charge nurse should recommend revising this entry because it implies the client is self-administering insulin, which is beyond the scope of practice for a client. This could lead to serious harm if not addressed.
A, B, and C are incorrect because they all indicate proper client care and documentation. A shows proper technique, B indicates client's concern with syringe lines, and C provides the client's fasting blood sugar level.
A, B, and C are incorrect because they all indicate proper client care and documentation. A shows proper technique, B indicates client's concern with syringe lines, and C provides the client's fasting blood sugar level.