Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for focused reassessment during hospitalization. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Which documentation should the nurse record to best support safe care and communication?

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

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

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 74-year-old client on a medical-surgical unit is being evaluated for focused reassessment during hospitalization. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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