Author Question: You chart the following: Alert, oriented 3, BP 140/90, P 88, R 24, C/o pain in L hip from mid-thigh ... (Read 27 times)

drink · **on:** Jul 22, 2018

You chart the following: Alert, oriented 3, BP 140/90, P 88, R 24, C/o pain in L hip from mid-thigh to greater trochanter area, marked bruising noted in same area, transferred to x-ray via stretcher by an aide. Which type of nursing note is this?

1. admit
2. transfer
3. assessment
4. interval

Question 2

Your client leaves the health care facility against the doctor's advice. Which of the following would be the best way to document this event on the client's chart?

1. notify the client's physician and chart what the physician requests be documented
2. left AMA
3. as a discharge note
4. the same information as on a discharge note, but include left AMA