The new staff nurse is having her documentation evaluated by the charge nurse. On review of her ...

ANS: 4
Each entry should begin with the time and end with the signature and title of the person record-ing the entry. All entries should be recorded legibly and in black ink because pencil can be erased. The nurse should never erase entries, never use correction fluid, or never use a pencil. The use of correction fluid could make the charting become illegible and it may appear as if the nurse were attempting to hide something or to deface the record. If the physician made an error, the nurse should not document it in the client's chart. It should be documented in an incident report.