A registered nurse is documenting patient assessments. Which documentation written by the nurse is most clear?
a. "Seems comfortable at this time."
b. "Is asleep, appears not to be experiencing pain."
c. "Apparently is not in pain because patient didn't rate it high on the scale."
d. "States pain is a 2 on a 0 to 10 scale."
D
States pain is a 2 is factual. To be factual, avoid words such as appears, seems, or apparently because they are vague and lead to conclusions that cannot be supported by objective information.
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