Documenting Nursing Activities (Record System Used in an Agency)-practice mode

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Question 1 of 27 :

A nurse is preparing to document the admission nursing assessment for a client who has pneumonia.

Which of the following information should the nurse include in this documentation?

A The client’s vital signs, oxygen saturation, and respiratory status.

B The client’s medical history, allergies, and current medications.

C The client’s nursing diagnosis, goals, and expected outcomes.

D The client’s family contacts, insurance information, and advance directives.

Naxlex

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