Which statement below is the best example of high-quality nursing documentation?
A) Patient breathing is normal, no pain noted, urine output is adequate at this time.
B) Good strength in both lower extremities. Ambulating with walker down hall.
C) Started on solid foods. Ate 75% of dinner. No complaints of any nausea or vomiting.
D) Patient seems upset with wife visiting in room; will perform physical assessment at a later time.

Question

Quizplus · Accepted Answer

"Started on solid foods.Ate 75% of dinner.No complaints of nausea or vomiting" is clear,concrete,and specific.Noting that patient breathing is normal and urine output is adequate does not give enough information about breathing or urine output.These statements contain vague and subjective words."Good strength in both lower extremities" is vague as the word good is subjective."Patient seems upset" does not give enough information nor is it specific.

Which Statement Below Is the Best Example of High-Quality Nursing