During change of shift report, a nurse is informed that a patient has new orders for sodium polystyrene (Kayexalate). After providing the treatment later in the shift, which of the following statements would most likely document the patient's care?
1. "Telemetry shows normal sinus rhythm; Kayexalate provided; patient had two stools this shift."
2. "Kayexalate provided, monitoring patient's level of consciousness q2h."
3. "Kayexalate given per order for hypokalemia; patient resting comfortably."
4. "IV D51/2NS with 20 mEq potassium chloride (KCl) infusing without difficulty; Kayexalate provided; adequate urine output noted."
ANS: 1
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