The nurse is reviewing a client's chart in a facility that utilizes problem-oriented recording. In which section would the nurse find the most recent physician orders?
1. Database
2. Problem list
3. Plan of care
4. Progress notes
Correct Answer: 3
Rationale 1: The database consists of all known information about the client upon admission.
Rationale 2: The problem list includes all identified problems, listed in the order in which they are identified.
Rationale 3: The initial list of orders or plan of care is made with reference to the client's active problems in this type of charting. Physicians write physician orders or the medical care plan.
Rationale 4: Progress notes are chart entries made by all health professionals involved in the client's care.
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