The nurse who forgets to document an element of clinical significance and recalls it later should
a. not add this information to the chart since it will be out of sequence
b. add this information to the original entry and initial it
c. rewrite the original entry
d. include this information, dating and signing the additional material
D
When the nurse forgets to document significant data, it is appropriate and advisable to include these data at a later date. Common practice is to enter the date and time and label "Late entry" to indicate that it is out of sequence. Then record the date and time it should have been charted in the body of the entry.
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