The nurse is caring for a client with a cardiac dysrhythmia. What should be included in this client's documentation? (Select all that apply.)
1. Vital signs
2. Code status
3. Mental status
4. Cardiac rhythm
5. Treatment measures
Answer: 1, 3, 4, 5
1. Document vital signs during episodes of dysrhythmia.
2. The client's code status should be written on the medical record by the health care provider.
3. Document mental status during episodes of dysrhythmia.
4. Document cardiac rhythms, as well as the effect of activities.
5. Document treatment measures and their effects on the dysrhythmia and patient's status.
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