NR 509 Week 5 Soap Note
Chamberlian School of Nursing
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Exam (elaborations) NR 509 Week 1 ,4,5
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Exam (elaborations) NR 509 Week 5 Soap Note
- Exam (elaborations) • 11 pages • 2021
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Initials: EP 
Age: 78 
Gender: Female 
Height: 5’2” 
Weight: 120 lbs 
BP: 110/70 
HR:92 
Temp: 37.0 C 
SPO2: 99 
RR: 16 
Pain (1-10): 6 
Allergies: 
Medication: NKDA 
Food: none 
Environment: Latex—“itchy rash” 
History of Present Illness (HPI) 
Chief Complaint (CC): “pain in my belly” and difficulty going to the bathroom 
Onset: Constipation 5 days ago with the exception of an episode of was watery diarrhea 3 days ago 
Location: “low in abdomen” 
Duration: constant x 5 days 
C...
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