In addition to diagnostic and therapeutic orders from the attending physician, you would expect
every completed inpatient health record to contain
A. standing orders. C. stop orders.
B. telephone orders. D. discharge order.
D Although many patient health records may feasibly contain all of the orders listed, only the
discharge order is required to document the formal release of a patient from the facility.
Absence of a discharge order would indicate that the patient left against medical advice and
this event should be thoroughly documented as well.
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You suspect that an unhelmeted male patient who was ejected from a motorcycle may have a basilar skull fracture. As you perform the secondary assessment, which finding would reinforce this suspicion?
A) Blood coming from the canals of both ear and nose B) Dilation and sluggish response of the right pupil to light C) Clear fluid coming from the right ear and left nostril D) Paralysis of the left arm and leg
Which of the following is a true statement?
A) Poisonous substances must be labeled in blue. B) Controlled substances must be kept in the same cabinet with all other drugs. C) Medications should be checked on a regular basis to ensure freshness. D) Drug samples are usually stored with all other medications.