To locate the recording of a nurse’s description of the teaching provi

To locate the recording of a nurse’s description of the teaching provided to the client on perfor-mance of self-medication administration, one would look in a(n):

1. Kardex
2. Incident report
3. Nursing history form
4. Discharge summary form

ANSWER

ANS: 4
A nurse’s description of the teaching provided to the client on performance of self-medication administration is recorded in the discharge summary form. A Kardex is a written form that con-tains basic client information. A Kardex contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client. An incident report is any event that is not consistent with the routine operation of a health care unit or routine care of a client (e.g., a client falls). A nursing history form guides the nurse through a complete assessment to identify relevant nursing diagnoses or problems. It provides baseline data about the client.