A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads
"2/2/05 1630 Catheterized using an 8 French catheter,45 ml clear yellow urine obtained,specimen sent to lab, squirmed and cried softly during
insertion of catheter.Quiet in mother's arms following catheter removal.M.May RN"
2. "1/9/05 2 P.M.g-tube accessed,positive air gurgle over stomach:5 ml air injected,10 ml residual stomach contents returned to stomach, Pediasure formula hung on Kangaroo pump.Child grunting intermittently, I think she wanted to annoy me.
K.Earnst RN"
3. "4:00 Trach dressing removed withdime-size stain of dry serous exudate.
Site cleansed with normal saline. Dried with sterile gauze.New sterile trach sponge and trach ties applied. Respirations regular and even
throughout the procedure.F.Luck RN"
4. "Feb.'05 Portacath assessed withHuber needle.Blood return present. Flushed with NaCl sol.,IV gammaglobins hung and infusing at 30cc/hr. Child smiling and playful throughout the procedure.P. Potter,RN"
Answer:1
Rationale: The client record should include the date and time of entry,nursing care provided,assessments,an objective report of the client's physiologic response,exact quotes,and the nurse's signature and title.
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