Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for respiratory assessment during hospitalization. Assessment data include temperature 100.8°F (38.2°C) with rigors and chills. Which documentation should the nurse record to best support safe care and communication?

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

"Client fine; no changes noted."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.

Answer and explanation

Correct answer

B. 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 66-year-old client in an outpatient clinic is being evaluated for respiratory assessment during hospitalization. Assessment data include temperature 100.8°F (38.2°C) with rigors and chills. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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