Pediatric nursing · practice question
An 8-year-old child in the pediatric unit is being evaluated for bronchiolitis with respiratory distress. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which documentation should the nurse record to best support safe care and communication?
Multiple choiceMediumnclex-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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