Anatomy & Physiology I/II · practice question
A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic control and level of consciousness. Assessment data include the nurse notes an unexpected finding during routine assessment. Which documentation should the nurse record to best support safe care and communication?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology
Answer and explanation
Correct answer
A. 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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