Adult health / medical-surgical nursing · practice question

A 59-year-old client in the intensive care unit is being evaluated for heart failure exacerbation. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg

Subjective opinions only without measurable findings.Objective assessment findings, nursing actions taken, client response, and provider notification when indicated."Client fine; no changes noted."Copied yesterday's note without updating current assessment data.

Answer and explanation

Correct answer

B. Objective assessment findings, nursing actions taken, client response, and provider notification when indicated.

Why

Safe documentation is specific, objective, and reflects assessment, intervention, response, and escalation when needed.

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A 59-year-old client in the intensive care unit is being evaluated for heart failure exacerbation. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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