Which of the following statement best describe documentation in nursing?

Correct Answer: B

Rationale: Documentation is accurate care records (B), per nursing e.g., vitals logged. Not optional (A), not opinion (C), not temporary (D) legal record. B best defines its role, tracking Mr. Gary's care, making it correct.

Correct Answer: C

Rationale: In end-stage renal failure, kidneys cannot regulate fluid balance, often producing little to no urine. Weighing the patient daily is the most reliable way to assess fluid status, as weight changes reflect fluid gain or loss (1 kg ≈ 1 L). Monitoring urine specific gravity is less useful with minimal urine output. Measuring intake and output helps but is less precise due to insensible losses (e.g., sweating). Bowel movements don't directly indicate fluid balance. Daily weight provides a consistent, objective measure, critical for managing fluid overload or dehydration in this population, guiding treatment like dialysis.

Correct Answer: B

Rationale: Psyllium, a fiber supplement, bulks stool, useful in chronic diarrhea but not acute watery diarrhea, where it may worsen fluid loss by slowing rehydration. Intravenous albumin corrects oncotic pressure, not routine for diarrhea. Potassium supplements replace losses from stool, and normal saline restores hydration both are appropriate. Nurses prioritize fluid and electrolyte replacement in acute cases, avoiding agents that delay recovery or exacerbate dehydration, focusing on rapid stabilization.

Correct Answer: C

Rationale: Friction is the most critical in hand washing, mechanically removing dirt, microbes, and oils from skin surfaces, especially crevices. Soap emulsifies germs, water rinses, and time (40-60 seconds) ensures thoroughness, but friction drives efficacy. Nurses rely on this per CDC guidelines, reducing infection transmission, as chemical agents alone can't dislodge all pathogens without physical action.

Correct Answer: C

Rationale: Mrs. Caperlac's low-sodium, low-fat diet reflects a health belief personal convictions about behaviors that impact health, grounded in evidence linking diet to blood pressure control. This aligns with the Health Belief Model, where individuals adopt practices based on perceived benefits (e.g., managing hypertension). It's not a cultural belief, which stems from group traditions, as no cultural context is specified. A personal belief might involve individual preferences (e.g., disliking salt), but her practice ties directly to a health outcome, not mere opinion. Superstitious beliefs rely on irrational assumptions (e.g., avoiding black cats), unrelated to her evidence-based dietary choice. Her decade-long adherence demonstrates a deliberate health-focused strategy, informed by medical advice, making health belief the most fitting classification for her proactive management of hypertension.