The nurse wants to adhere to practice guidelines that meet legal and ethical standards when documenting client care.Which actions should the nurse take to prove adherence?
Standard Text: Select all that apply.
A)Charting the client's response to pain medication taken
B)Describing the client as "appearing to be comfortable"
C)Leaving sufficient charting space for the previous shift to chart client teaching
D)Documenting that the client reports,"I'm so afraid of tomorrow's surgery"
E)Making a late entry regarding a client's request for pain medication

Question

Quizplus · Accepted Answer

Charting the client's response to pain medication taken (A), documenting the client's statement about being afraid of tomorrow's surgery (D), and making a late entry regarding a client's request for pain medication (E) are all important elements of accurate and timely documentation that meets legal and ethical standards. Describing the client as "appearing to be comfortable" (B) is subjective and may not provide a clear indication of the client's actual condition. Leaving sufficient charting space for the previous shift to chart client teaching (C) is important for continuity of care but does not provide direct evidence of adherence to practice guidelines.

The Nurse Wants to Adhere to Practice Guidelines That Meet