Question

A nurse is caring for a client who is 1 day postoperative following a right-sided thoracotomy with a chest tube insertion. What type of information would be found in the 'Nurse's Notes' section of the client's medical record?

a) Laboratory results
b) Physical examination findings
c) Orders from the surgeon
d) Medications administered to the client

Answer 1

The 'Nurse's Notes' section of the client's medical record contains information about postoperative care and progress.

Step-by-step explanation:

In the 'Nurse's Notes' section of the client's medical record, you would find information related to the client's postoperative care and progress. This may include details about the client's vital signs, pain level assessment, wound care, and any specific nursing interventions provided.

The nurse may also document any observations or assessments related to the chest tube insertion, such as the amount and character of drainage from the chest tube, any signs of infection or complications, and the client's tolerance to the procedure.

The nurse's notes are an important part of the client's medical record as they provide a comprehensive picture of the client's condition and the care provided by the nursing staff.