Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to vitamins and minerals. Assessment data include the client has heart failure, 2+ edema, and a 2 kg weight gain in 24 hours. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nutrition

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

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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