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what is the optimal source for the following data in in inpatient record. a. Medications that...

what is the optimal source for the following data in in inpatient record.

a. Medications that the patient has already recieved.

b. Passsible diagnosis after 23 days of hospitalization.

c. patients temperature

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Answer #1

The optimal source for the medications that the patient has already received, possible diagnosis after 2-3 days of hospitalization, and the patient's temperature is a nursing record. All nursing care received by the patient and how the patient responds to this along with events and factors affecting the patient's wellbeing is recorded in a nursing record. Any medications administered, temperature, etc are recorded with the date. Thus a nursing record can be considered as the optimal source for the above data.

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