When documenting notification of the primary health care provider conc

When documenting notification of the primary health care provider concerning a client whose condition is deteriorating, the nurse must be sure to include which of the following? (Select all that apply.)

1. Client’s wife at bedside.
2. Client rating pain at 3 out of 10 at 0920.
3. Client asking to have wife called to come to hospital.
4. Dr. Smith notified of client’s pain rating of 8 out of 10 at 0900.
5. Client administered 2 mg morphine sulfate IV every 5 minutes for two doses.
6. Client ordered morphine sulfate 2 mg IV every 5 minutes until pain relief is achieved.

ANSWER

ANS: 2, 4, 5, 6
The nurse must be certain to document that the physician was notified and his or her response, nursing action in follow-up of orders, and the client’s response. The remaining options are not relevant to the proper documentation of the situation.