Where does the nurse record a description of the teaching provided to the patient on performance of self-medication administration?
a. Kardex form
b. Incident report
c. Nursing history form
d. Discharge summary form
D
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A A Kardex form is a written form that contains basic patient information. A Kardex form contains an activity and treatment section, and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift reports. It does not include a description of teaching that was provided to the patient.
B An incident report concerns any event that is not consistent with the routine operation of a health care unit or routine care of a patient (e.g., a patient falls).
C A nursing history form guides the nurse through a complete assessment to identify relevant nursing diagnoses or problems. It provides baseline data about the patient.
D The nurse's description of the teaching provided to the patient on performance of self-administration of medication is recorded in the discharge summary form.
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