Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to acid-base imbalance. Assessment data include blood glucose 420 mg/dL with acetone breath and Kussmaul respirations. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology

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

Answer and explanation

Correct answer

D. 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.

Test yourself on Pathophysiology

A free test with instant, explained results. No account needed.

Start free test

All Pathophysiology questions →

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to acid-base imbalance. Assessment data include blood glucose 420 mg/dL with acetone breath and Kussmaul respirations. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

More Pathophysiology questions