QuestionMay 31, 2025

A patient care technician is preparing to document information in a patient's electronic health record (EHR). Which of the following actions should the technician plan to take? Record care before it is provided. Note patient response to an analgesic. Record the patient's vital signs as reported by the nurse. Use generalized phrases when documenting.

A patient care technician is preparing to document information in a patient's electronic health record (EHR). Which of the following actions should the technician plan to take? Record care before it is provided. Note patient response to an analgesic. Record the patient's vital signs as reported by the nurse. Use generalized phrases when documenting.
A patient care technician is preparing to document information in a patient's electronic health record
(EHR). Which of the following actions should
the technician plan to take?
Record care before it is provided.
Note patient response to an analgesic.
Record the patient's vital signs as reported by the nurse.
Use generalized phrases when documenting.

Solution
4.0(317 votes)

Answer

Note patient response to an analgesic. Explanation 1. Identify Correct Documentation Practice The technician should document factual and specific information about the patient's care and response. 2. Evaluate Each Option - Recording care before it is provided is incorrect as documentation should reflect actual events. - Noting patient response to an analgesic is correct as it provides specific, relevant information. - Recording vital signs reported by another person is not ideal; direct observation is preferred. - Using generalized phrases is discouraged as documentation should be precise and detailed.

Explanation

1. Identify Correct Documentation Practice<br /> The technician should document factual and specific information about the patient's care and response.<br /><br />2. Evaluate Each Option<br /> - Recording care before it is provided is incorrect as documentation should reflect actual events.<br /> - Noting patient response to an analgesic is correct as it provides specific, relevant information.<br /> - Recording vital signs reported by another person is not ideal; direct observation is preferred.<br /> - Using generalized phrases is discouraged as documentation should be precise and detailed.
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