A nurse is assisting with the care of a client who is receiving a PCA pump following a hysterectomy. Which of the following findings should the nurse identify as an indicator of unrelieved pain?

An incident report is formal documentation used to report any unexpected or adverse events that occur during the course of patient care. It provides a record of the incident and helps identify areas for improvement in patient safety and quality of care. The incident report should include details about the error, the potential impact on the client, actions taken to address the error, and any necessary follow-up.

A nursing care plan is a document that outlines the client's nursing diagnoses, goals, interventions, and evaluations. It is not the appropriate place to document a medication error or incident.

The provider's progress notes are documentation made by the healthcare provider, typically documenting their assessments, diagnoses, treatment plans, and progress of the client. A medication error made by the nurse should not be documented in the provider's progress notes.

The controlled substance inventory record is a record used to track the dispensing and administration of controlled substances. While it is important to maintain accurate records of controlled substances, documenting a medication error in this record is not the appropriate place as it is primarily used for inventory management purposes

Choice A Reason:

Shrimp salad: Shrimp is a type of shellfish, and shellfish are not allowed in a kosher diet.

Choice B Reason:

Roasted salmon. When caring for a client who follows a kosher diet, it's important to provide food that adheres to kosher dietary laws. Kosher dietary laws prohibit the consumption of certain types of seafood (like shrimp and clams) and pork products (like pulled-pork). Therefore, shrimp salad, clam chowder, and pulled-pork sandwich are not suitable for a kosher diet. Roasted salmon, on the other hand, is an acceptable choice for a kosher diet as long as it has been prepared following kosher guidelines. Fish with fins and scales, such as salmon, are generally considered kosher.

Choice C Reason:

Pulled-pork sandwich: Pork is strictly prohibited in a kosher diet, and any pork-based products, including pulled-pork, are not allowed.

Choice D Reason:

Clam chowder: Clams are considered shellfish, and like other shellfish, they are not permitted in a kosher diet.