The Nurse Makes a Late Entry in a Client's Record

Multiple Choice

The nurse makes a late entry in a client's record.Which of the following is the best example of how to document this type of situation?

A) "2:45 PM-ASA gr X given for temperature of 38.1° C."
B) "8:30 AM-Client received Percodan (1 tablet) PO an hour before going to radiology."
C) "12:15 PM-I gave the client morphine 10 mg IM at 11:10 AM but did not document it then."
D) "8:30 PM-Abdominal dressing change at 7:30 PM.No s/s of infection,and wound edges approximating well."