Management of CareQuestion 70 of 2368
A nurse completed a dressing change but forgot to chart it. Which statement about this situation is accurate?
- Giving a verbal report at handoff replaces the need to document
- Documentation can be completed at any time without risk of error
- Only medication administration must be documented
- In a court of law, an intervention that is not documented is considered not done
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Correct answer: In a court of law, an intervention that is not documented is considered not done
Lack of documentation is a failure to communicate and a basis for legal action. Interventions should be charted promptly.
Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Nursing Process: Documentation of Interventions. Licensed under CC BY 4.0.
Practice the topic "Management of Care"Questions last reviewed: 18 October 2026