NCLEX RN Practice Question
Which terminology is an example of standard, approved documentation for describing a client’s heart rate during care documentation?
Tachycardia
High pulse
Abnormal heartbeat
Fast heart
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Which terminology is an example of standard, approved documentation for describing a client’s heart rate during care documentation?
Tachycardia
High pulse
Abnormal heartbeat
Fast heart
Using approved terminology in documentation, such as 'tachycardia' to describe an elevated heart rate, ensures that healthcare providers within the team understand the client's condition in a precise and standardized manner. Terms like 'fast heart' or 'high pulse' are non-standard and can lead to miscommunication, as they lack specificity and professional clarity. Ensuring the use of standardized terms promotes safety and accuracy in care delivery.
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