Health assessment · practice question
A 74-year-old client on a medical-surgical unit is being evaluated for nursing care related to general survey. 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 choiceEasynclex-rn-bsnnclex-validatednclex-2026health-assessment
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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