The nurse observes a client while using the prescribed incentive spirometer. Which items will the nurse include when documenting this observation in the nursing notes?
1. Type of spirometer
2. Number of breaths taken
3. Education provided
4. Medications administered
5. Code status
1, 2, 3
Rationale 1: When documenting the observation of a client using the prescribed incentive spirometer, the nurse will include the type of spirometer used.
Rationale 2: When documenting the observation of a client using the prescribed incentive spirometer, the nurse will include the number of breaths taken.
Rationale 3: When documenting the observation of a client using the prescribed incentive spirometer, the nurse will include any education that was provided to the client and family.
Rationale 4: Medication administration is not documented in the nursing notes, but in the medication administration record.
Rationale 5: The client's code status is not relevant to this situation.
Global Rationale: When documenting the observation of a client using the prescribed incentive spirometer, the nurse will include the type of spirometer used, the number of breaths taken, and any education that was provided to the client and family. Medication administration is not documented in the nursing notes, but in the medication administration record. The client's code status is not relevant to this situation.
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