Informatics and healthcare technology · practice question

The telehealth nurse during a virtual follow-up visit is being evaluated for barcode medication administration. Assessment data include the barcode scanner displays a medication-client mismatch at the bedside. Which documentation should the nurse record to best support safe care and communication?

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"Client fine; no changes noted."Objective assessment findings, nursing actions taken, client response, and provider notification when indicated.Subjective opinions only without measurable findings.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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The telehealth nurse during a virtual follow-up visit is being evaluated for barcode medication administration. Assessment data include the barcode scanner displays a medication-client mismatch at the bedside. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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