Nursing fundamentals · practice question
A 76-year-old client in a long-term care facility is being evaluated for nursing care related to skin integrity. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which documentation should the nurse record to best support safe care and communication?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
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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