Pediatric nursing · practice question
A 2-year-old toddler in the emergency department is being evaluated for well-child care. Assessment data include pulling at ears and crying with tugging on the right ear. Which documentation should the nurse record to best support safe care and communication?
Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
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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