During Change of Shift Report, a Nurse Is Informed That

During change of shift report, a nurse is informed that a client has new orders for sodium polystyrene (Kayexalate) .After providing the treatment later in the shift, which documentation will the nurse make in regard to the client's care?

A) Telemetry shows normal sinus rhythm; Kayexalate provided; client had two stools this shift.
B) Kayexalate provided; monitoring client's level of consciousness every 2 hours.
C) Kayexalate given per order for hypokalemia; client resting comfortably.
D) IV D₅ 1/2NS with 20 mEq potassium chloride (KCl) infusing without difficulty; Kayexalate provided; adequate urine output noted.