Health assessment · practice question

A 49-year-old client in the emergency department is being evaluated for neurologic assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment

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

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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