The nurse is preparing to make an entry into a client's medical record after completing morning care and providing medications. What should the nurse ensure when completing this documentation? Select all that apply
1. Time care was provided
2. Client's response to care provided
3. Time medications were administered
4. Estimated date for goals to be achieved
5. Client's reaction to medications provided
1, 2, 3, 5
Rationale 1: To ensure accurate documentation the time that care was provided should be included.
Rationale 2:To ensure accurate documentation the client's response to care should be included.
Rationale 3:To ensure accurate documentation the time medications were administered should be included.
Rationale 4: The estimated time for goals to be achieved is documented on the care plan.
Rationale 5:To ensure accurate documentation the client's response to medications should be included.
Global Rationale: To ensure accurate documentation the time that care was provided, the client's response to care, the time medications were administered, and the client's response to medications should be included. The estimated time for goals to be achieved is documented on the care plan.
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