A Supervisor Is Reviewing the Documentation of the Nurses in the Unit

Multiple Choice

A supervisor is reviewing the documentation of the nurses in the unit. The documentation that most accurately and correctly contains all the required parts for a narrative entry is the entry that reads:

A) "1630 catheterized using an 8 French catheter, 45 ml clear yellow urine obtained, specimen sent to lab, squirmed and cried softly during insertion of catheter.Quiet in mother's arms following catheter removal.M.May RN"
B) "1/9/05 2 p.m.g-tube accessed, positive air gurgle over stomach: 5 ml air injected, 10 ml residual stomach contents returned to stomach, PediaSure formula hung on Kangaroo pump infusing at 60 ml/hr for 1 hour.Child grunting intermittently throughout procedure.K.Earnst RN"
C) "Feb.'05 Portacath assessed with Huber needle.Blood return present.Flushed with NaCl sol., IV gamma globulins hung and infusing at 30 ml/hr.Child smiling and playful throughout the procedure.P.Potter, RN"
D) "4:00 Trach dressing removed with dime-size stain of dry serous exudate.Site cleansed with normal saline.Dried with sterile gauze.New sterile trach sponge and trach ties applied.F.Luck RN"