Adult health / medical-surgical nursing · practice question
A 59-year-old client in the intensive care unit is being evaluated for neutropenia during chemotherapy. Assessment data include the client has crackles bilaterally, SpO2 88% on room air, and reports increased shortness of breath. Which documentation should the nurse record to best support safe care and communication?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Answer and explanation
Correct answer
D. 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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