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Question
a nurse is documenting a clients assessment in the electronic health record (ehr). what action(s) should the nurse take to abide by best practices? select all that apply. use the copy - paste function when documenting repetitive information. maintain client privacy and confidentiality when documenting. avoid using unapproved abbreviations and acronyms. document in a timely manner after providing care. document subjective information without objective data to support it. use clear and concise language.
- Copy - pasting repetitive info can save time.
- Privacy and confidentiality are crucial.
- Unapproved abbreviations can cause confusion.
- Timely documentation ensures accuracy.
- Subjective info needs objective support.
- Clear and concise language is essential for understanding.
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B. Maintain client privacy and confidentiality when documenting.
C. Avoid using unapproved abbreviations and acronyms.
D. Document in a timely manner after providing care.
F. Use clear and concise language.