The nurse has completed foot care for a client as part of routine morning care. What should the nurse document about the procedure?
1. The condition of the skin and nails
2. Nothing unless a problem is noted
3. The amount of time taken on foot care
4. The client's comments about the foot care
Correct Answer: 2
Rationale 1: The nurse does not need to document the condition of the skin and nails unless a problem is noted.
Rationale 2: Foot care is not generally recorded unless problems are noted.
Rationale 3: The nurse does not need to document the amount of time taken on foot care.
Rationale 4: The nurse does not need to document the client's comments about the foot care.
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