Which of the Following Is a Correct Documentation Made by the Nurse

Multiple Choice

Which of the following is a correct documentation made by the nurse assistant?

A) In bed. Complains of headache. T 98.4 orally, radial pulse 72 and regular, respirations 18 and unlabored. BP 134/84 left arm lying down. Alice Jones, RN, notified of resident complaint and vital signs. Ann Adams, CNA
B) Complains of abdominal pain after eating hamburger, fries, and milkshake during lunch. Vital signs taken in normal readings. Referred to nurse-on-duty. Monitored for further abdominal pain. Vicky Tomms, CNA
C) Appears depressed after visited by relatives probably due to bad news. Will follow-up later. Mary Atkins, CNA
D) Warm to touch. Applied cold compress on forehead. Referred to physician for prn medications. Temperature above normal. Jane Craig, CNA