Recording a nurse's description of the teaching provided to the client on performance of self-medication administration is found in a(n):

Question

A. Kardex
B. Incident report
C. Nursing history form
D. Discharge summary form

Answer 1

D
D. A nurse's description of the teaching provided to the client on performance of self-administration of medication is recorded in the discharge summary form.
A. A Kardex is a written form that contains basic client information. A Kardex contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client.
B. An incident report concerns any event that is not consistent with the routine operation of a health care unit or routine care of a client (e.g., a client falls).
C. A nursing history form guides the nurse through a complete assessment to identify relevant nursing diagnoses or problems. It provides baseline data about the client.