When documenting patient behavior, the LPN/LVN should
A) record subjective interpretations of patient behavior.
B) avoid mentioning communicating with supervisors to report changes in condition.
C) record all interventions performed and patient instruction given.
D) Use white-out to erase errors in documentation.

Question

Quizplus · Accepted Answer

The nurse should record all interventions and instructions given to the patient. Legally, if it is not documented, it cannot be proved that the care was given. Documentation should be objective. All patient-related communication with supervisors or physicians should be documented. Flow sheets must be marked appropriately.

When Documenting Patient Behavior, the LPN/LVN Should