The nurse caring for a postsurgical patient obtains an oral temperature reading of 103°F.She contacts the surgeon,obtains an order,and administers acetaminophen 650 mg orally.Which clinical information should the nurse document? Select all that apply.

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Documentation of patient information is one of the most important responsibilities of the registered nurse.If vital signs are abnormal,the nurse must document these findings in the nursing progress notes along with any associated symptoms.Nurses are additionally required to take appropriate actions based on their assessment findings.Therefore,the nurse must document the interventions as well.In this item,all findings and actions must be documented.

The Nurse Caring for a Postsurgical Patient Obtains an Oral