The RN is documenting the patient's complaint of pain rated a 6 on a scale of 0 to 10 . Which of the following would be the most appropriate chart entry, if made by the nurse?
a. Pt. complaining of pain. MD notified.
b. Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting." Pt. grimacing, voice elevated. MD notified.
c. Pt. complaining of pain rated at 6 on a scale of 0-10 . Appears to be in pain. MD notified.
d. Pt. complaining of pain rated 6 . Wants more pain medication; appears to be drug-seeking. MD notified.
B
In Option b, the entry contains the problem, the assessment, subjective comments, observations, and the plan. Option a does not define the patient's pain. Options c and d reflect opinions of the nurse.
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