The client comes to the clinic and says to the nurse, "I am coming in today to see the doctor because I started having diarrhea 2 days ago and am going six to eight times per day." How would the nurse document this statement?
A) Concern: Client is afraid he is going to be dehydrated from the amount of diarrhea he is having.
B) Problem: Client is having diarrhea at least six to eight times per day.
C) The client is having diarrhea and wants to see the physician.
D) Chief complaint: "Diarrhea began 2 days ago and having six to eight stools per day."
D
Feedback:
The chief complaint is the current reason the client is seeking care. "Concern" is not a relevant response and is not what the client stated. "The client is having diarrhea and wants to see the physician" is vague and does not give enough information. "Problem: Client is having diarrhea" is not appropriate, not informative documentation.
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