Documenting Nursing Activities (Record System Used in an Agency)

Documenting Nursing Activities (Record System Used in an Agency) ( 27 Questions)

A nurse is documenting a client’s admission assessment using a flow sheet.

Which of the following information should be included in a flow sheet?

(Select all that apply.).



Correct Answer: ["A","B","C","E"]

A flow sheet is a type of document that records routine and frequent data in a graphical or tabular form. It is used to monitor and evaluate the patient’s condition and response to treatment over time. A flow sheet should include information that is relevant, concise and easy to read.

• Choice A is correct because vital signs are one of the most common and important data that need to be recorded and monitored regularly for any patient.

• Choice B is correct because allergies are essential information that can affect the patient’s treatment plan and prevent adverse reactions.

• Choice C is correct because medication administration is another crucial data that shows what drugs, doses, routes and times the patient has received or will receive.

• Choice D is wrong because medical history is not a routine or frequent data that needs to be recorded in a flow sheet. Medical history is usually documented in a separate form that provides more details and background information about the patient’s past and present health conditions.

• Choice E is correct because intake and output are important data that indicate the patient’s fluid balance and renal function.

They need to be recorded and monitored regularly, especially for patients who have fluid restrictions.




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