The nurse has to document information to maintain the health record of the client. Which nursing action is required for each charting entry?
A) Reporting each observation to the healthcare provider.
B) Signing the record with first initial, last name, and classification.
C) Obtaining a signature from the primary care provider.
D) Providing the day of the week on the entry.

Question

Quizplus · Accepted Answer

Signing each charting entry with the first initial, last name, and classification (e.g., RN, LPN) is a standard practice in documentation to ensure accountability and clarity regarding who provided care or made an observation.

The Nurse Has to Document Information to Maintain the Health