Ethics, legal nursing, delegation, prioritization · practice question

A 58-year-old client on a telemetry unit is being evaluated for nursing care related to autonomy and informed consent. Assessment data include telephone order received for a high-risk IV medication. Which documentation should the nurse record to best support safe care and communication?

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

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 58-year-old client on a telemetry unit is being evaluated for nursing care related to autonomy and informed consent. Assessment data include telephone order received for a high-risk IV medication. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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