The nurse is assigned to provide care to a client with chronic obstructive pulmonary disease (COPD). Overnight, the client's oxygen saturation levels decreased and the client has been placed on oxygen by the respiratory therapist. To review specific information about the care received from the respiratory therapist, which portion of the medical record should the nurse review?
A)The consultation report
B)The nurses' notes
C)The medication record
D)The diagnostic report

Question

Quizplus · Accepted Answer

A)The traditional client record is a source-oriented record, in which each individual or department makes notations in a separate section or sections of the client's chart. The consultation report section of a source-oriented record includes various reports about the client from physical therapy, respiratory therapy, and occupational therapy. The nurses' notes section is specific to nursing care and includes pertinent client information; the medication record section has the dosage, route, time, and date of regularly administered medications; and the diagnostic report section has various laboratory, x-ray, and scan reports on the client.
B)The traditional client record is a source-oriented record, in which each individual or department makes notations in a separate section or sections of the client's chart. The consultation report section of a source-oriented record includes various reports about the client from physical therapy, respiratory therapy, and occupational therapy. The nurses' notes section is specific to nursing care and includes pertinent client information; the medication record section has the dosage, route, time, and date of regularly administered medications; and the diagnostic report section has various laboratory, x-ray, and scan reports on the client.
C)The traditional client record is a source-oriented record, in which each individual or department makes notations in a separate section or sections of the client's chart. The consultation report section of a source-oriented record includes various reports about the client from physical therapy, respiratory therapy, and occupational therapy. The nurses' notes section is specific to nursing care and includes pertinent client information; the medication record section has the dosage, route, time, and date of regularly administered medications; and the diagnostic report section has various laboratory, x-ray, and scan reports on the client.
D)The traditional client record is a source-oriented record, in which each individual or department makes notations in a separate section or sections of the client's chart. The consultation report section of a source-oriented record includes various reports about the client from physical therapy, respiratory therapy, and occupational therapy. The nurses' notes section is specific to nursing care and includes pertinent client information; the medication record section has the dosage, route, time, and date of regularly administered medications; and the diagnostic report section has various laboratory, x-ray, and scan reports on the client.

The Nurse Is Assigned to Provide Care to a Client