Pediatric nursing · practice question
A 6-month-old infant in the pediatric clinic is being evaluated for routine childhood immunizations. Assessment data include nasal flaring, grunting, retractions, and SpO2 89%. 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
A. 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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