Question

In using the hospital's computer info system, where is the nurse most likely to find documentation about the pt's response to the last dose of pain med?

a) individualized care plan
b) med-admin record (MAR)
c) automated kardex form
d) narrative notes

Answer 1

A nurse is most likely to find documentation about a patient's response to the last dose of pain medication in the narrative notes section of the patient's medical records.

Step-by-step explanation:

The question asks where a nurse is most likely to find documentation about a patient's response to the last dose of pain medication. The nurse would find this information in the narrative notes section of the patient's medical records. The Medication Administration Record (MAR) is used for documenting the administration of medications, including the time and dose given, but it does not typically include patient response.

The individualized care plan includes a plan for care but does not frequently have specifics on immediate responses to medications. The automated kardex is a summary of care needs and may not list detailed reactions. Narrative notes, on the other hand, allow healthcare professionals to record specific observations about a patient's condition and their reactions to medications or treatments, making it the most likely place to find this information.