Which of the following, if seen on the Nurses notes, violates characteristic of good recording?

Correct Answer: C

Rationale: Refused betaxolol' (C) violates good recording; it lacks why or follow-up, per standards (e.g., completeness). A, B, D are specific and clear. C's brevity omits context, making it the violation.

Correct Answer: D

Rationale: Standard precautions are infection control practices used to prevent the transmission of pathogens in healthcare settings. They apply to all patient care situations where there is potential contact with blood, body fluids, secretions, excretions (except sweat), non-intact skin, or mucous membranes. Providing oral hygiene involves direct contact with saliva, which is considered a body fluid that may contain pathogens, such as bacteria or viruses, especially in patients with poor oral health or infections. Wearing gloves during this intervention protects the nurse from potential exposure to infectious agents and prevents cross-contamination to other patients or surfaces. In contrast, providing a back massage, feeding a client, or providing hair care typically does not involve contact with body fluids or high-risk areas unless specified otherwise (e.g., open wounds or soiled conditions). Therefore, gloves are not routinely required for these tasks under standard precautions unless additional risk factors are present. The correct answer is D because oral hygiene uniquely involves potential exposure to mucous membranes and saliva, necessitating glove use.

Correct Answer: C

Rationale: Pain radiating to Mr. Gary's upper right quadrant is referred pain (C), where sensation is felt away from its source, per pain types (e.g., gallbladder to shoulder). Acute (A) and chronic (B) describe duration, not location. Phantom (D) is post-amputation. Referred pain aligns with anatomical nerve pathways, common in visceral issues, making C correct for this pattern.

Correct Answer: C

Rationale: Impending death features muscle tone loss (A), sphincter control loss (B), and secretion pooling (D), per terminal physiology body shuts down. Increased sensory perception (C) is untrue senses dull, not sharpen, as consciousness fades. C contradicts decline, making it the correct false statement.

Correct Answer: B

Rationale: Helping the family accept the condition (B) best describes the nurse's role, per palliative nursing supporting emotional adjustment. Medical advice (A) is physician-led, mediation (C) secondary, leaving alone (D) neglects duty. B fosters coping, making it correct.