Pn fundamentals 2023
Pn fundamentals 2023 ( 55 Questions)
A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?
Documenting self-care instruction is vague and lacks specificity on the client's physical status postpartum.
Documenting the status of the episiotomy provides essential information regarding healing and recovery, a priority in postpartum care.
Tracking fluid intake may be relevant for hydration status but is less critical than documenting the episiotomy for postpartum assessment.
Although an elevated temperature may indicate infection, it would be secondary to recording the condition of an episiotomy, which directly relates to postpartum recovery and potential complications.
A. Documenting self-care instruction is vague and lacks specificity on the client's physical status postpartum.
B. Documenting the status of the episiotomy provides essential information regarding healing and recovery, a priority in postpartum care.
C. Tracking fluid intake may be relevant for hydration status but is less critical than documenting the episiotomy for postpartum assessment.
D. Although an elevated temperature may indicate infection, it would be secondary to recording the condition of an episiotomy, which directly relates to postpartum recovery and potential complications.