NCLEX-PN
NCLEX PN Test Bank Questions
Extract:
Question 1 of 5
While receiving an infusion of cefazolin sodium, the client complained of itchy skin. The nurse observed warm, flushed skin with a red rash on the arms, chest, and back. The health care provider was promptly notified.
Correct Answer: D
Rationale: Accurate and objective documentation is essential during an incident report.
Choice A makes an assumption of allergy based on subjective interpretation, which is not appropriate.
Choice B states a conclusion without proper documentation.
Choice C is incomplete as it fails to provide a detailed account of the observed symptoms.
Choice D offers a precise description of the client's symptoms, actions taken, and notification of the healthcare provider, making it the most suitable documentation choice.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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