A nurse needs to document an event where the client’s blood pressure dropped suddenly during their shift. Which of the following entries represents the most appropriate and professional documentation?
Client experienced a significant BP drop. The issue was managed after contacting the provider.
Client’s blood pressure decreased to 80/50 mmHg. Healthcare provider notified, and fluids administered as ordered.
Client had a sudden drop in blood pressure. Doctor was alerted, and appropriate actions were taken.
Client’s blood pressure was abnormally low. Doctor was told, and necessary care was provided.
The correct answer provides clear and specific medical documentation without relying solely on specialized terminology like 'hypotension.' While still professional, its language is accessible and sufficiently detailed to communicate the event effectively. Incorrect options fail to meet professional standards due to vague or imprecise descriptions. For example, phrases like 'BP dropped' or 'low BP event' lack clarity and professionalism. Proper documentation must balance the use of clinical terminology with clarity and context.
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