Asked by Christopher Massieu on Jun 03, 2024
Verified
A nurse is charting. Which information is critical for the nurse to document?
A) The patient had a good day with no complaints.
B) The family is demanding and argumentative.
C) The patient received a pain medication, Lortab.
D) The family is poor and had to go on welfare.
Lortab
A prescription medication combining hydrocodone and acetaminophen, used to treat moderate to severe pain.
Charting
The process of recording patient information, medical history, and treatment details in healthcare settings.
Patient
An individual receiving medical care or treatment.
- Familiarize oneself with the process of documentation, which includes careful charting and its legal considerations.
Verified Answer
CC
Carmel CamposJun 10, 2024
Final Answer :
C
Explanation :
Nursing interventions and treatments (e.g., medication administration) must be documented. Avoid using generalized, empty phrases such as "status unchanged" or "had good day." Do not document retaliatory or critical comments about a patient, like demanding and argumentative. Family is poor is not critical information to chart.
Learning Objectives
- Familiarize oneself with the process of documentation, which includes careful charting and its legal considerations.