Pediatric nursing · practice question

A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart disease. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Which documentation should the nurse record to best support safe care and communication?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing

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

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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A 2-year-old toddler in the emergency department is being evaluated for newly diagnosed congenital heart disease. Assessment data include parents report decreased wet diapers and lethargy over 24 hours. Which documentation should the nurse record to best support safe care and communication?

Correct answer

Why

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