Exam 15: Documenting and Reporting

A hospital is not able to be reimbursed for care a particular client received while in the emergency department.The client came in with chest pain,which was later diagnosed as gastric reflux.Which problem with documentation might have caused the lack of reimbursement?

The nurse is documenting client care on flow sheets that identify abnormal assessment findings.Which type of documentation system is the nurse using?

The nurse is teaching medication administration to a client being discharged.Which instruction should the nurse rewrite for this client?

The nurse administered analgesic medications to an assigned client via central line.In which section of PIE charting should the nurse document this information?