Anatomy & Physiology I/II · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to immune and inflammatory response. Assessment data include the client reports dizziness when standing. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

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

Answer and explanation

Correct answer

C. 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 nursing care related to immune and inflammatory response. Assessment data include the client reports dizziness when standing. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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