The Nurse Is Documenting Care for a Ventilated Client

The nurse is documenting care for a ventilated client.Which items are appropriate for the nurse to include in the documentation?

A) Assignment of suctioning to the unlicensed assistive personnel (UAP)
B) Client response to ventilator changes
C) Pertinent laboratory values,such as arterial blood gas results
D) Physical assessment findings
E) Pain rating using an appropriate pain rating scale