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Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for clotting and bleeding disorder. Assessment data include the client reports worst headache of life with neck stiffness. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology
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Answer and explanation

Correct answer

C. 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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