W125 Med Surgical 2 Benchmark Lippincott Proctored Exam
Review the electronic health record Click to highlight the nursing note entry that could result in the most harm to the client Nursing Notes 8/10 0850: Client off unit for radiation. 1115: Client returned from radiation and reports burning at radiation site. Site observed to be dry and red without signs of infection. 1220: Client eating lunch without complaints. 1330: Unlicensed assistive personnel reports client consumed 20% of lunch tray. 1400: Client's son visiting at bedside. Observed son applying heating pad to client's radiation site per client request. 1435: Intravenous chemotherapy initiated via infusion pump. Client tolerating initiation. 1500: Client assessed. Reporting nausea. 8 mg ondansetron administered intravenously. 1530: Client continues to tolerate chemotherapy infusion with no change in vital signs. Nausea resolved. Client resting with eyes closed and respirations even.
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