Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to inflammation and cellular injury. Assessment data include bilateral calf pain with redness and warmth after bedrest. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pathophysiology

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

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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