Pathophysiology · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic injury. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pathophysiology

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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A 59-year-old client in the intensive care unit is being evaluated for nursing care related to neurologic injury. Assessment data include hemoglobin 6.8 g/dL with pallor and hypotension 90/55 mm Hg. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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