Question

What should the nurse be sure to do when documenting in a patient's chart?

a. Use abbreviations and acronyms liberally for efficient documentation
b. Include subjective information without verification
c. Document information in a timely, accurate, and objective manner
d. Use creative language to enhance chart readability

Answer 1

The nurse should document information in a timely, accurate, and objective manner when documenting in a patient's chart.

Step-by-step explanation:

When documenting in a patient's chart, the nurse should ensure to document information in a timely, accurate, and objective manner (option c). This means that the nurse should record the patient's information as it happens, ensuring that it is accurate and based on objective observations. It is important to avoid using abbreviations and acronyms liberally (option a) as it can lead to misinterpretation or confusion. The nurse should also avoid including subjective information without verification (option b) as it may not be reliable or accurate. Additionally, the nurse should use clear and conventional language to enhance chart readability, rather than creative language (option d).