Multiple Choice
In a medical record for a patient who has had an allergic reaction to a drug and an associated nursing diagnosis of Skin integrity, impaired, related to allergic reaction as evidenced by rash and hives, the nurse documents "Subjective: denies itching. Happy with improvement in skin.
Objective: rash fading on face, chest, and back; no hives visible on skin. Skin warm, dry, and intact. Assessment: skin integrity improving. Plan: check rash daily until discharge.” This type of documentation is an example of:
A) charting by exception.
B) narrative style.
C) a problem-oriented medical record (POMR) .
D) the case management system.
Correct Answer:

Verified
Correct Answer:
Verified
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