Soap notes pre - Study guides, Class notes & Summaries

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a "body-wracking dry cough" of 6 weeks duration. C. ...

OB HESI FINAL Exam with 100% Correct Answers 2023 A client who delivered an infant an hour ago tells the nurse the she feels wet underneath her buttock. The nurse notes that the perineal pad is saturated and the client is lying in a 6-inch diameter pool of blood. Which action should the nurse implement first? A. Cleanse the perineum B. Obtain a blood pressure C. Palpate the firmness of the fundus D. Inspect the perineum for lacerations - Correct answer-Correct Answer: C A firm uterus i...

Med Surg Musculoskeletal Questions and Answers (2023 / 2024) (Verified Answers) a nurse is reviewing the medical record of a female client. which of the following findings should the nurse identify as a risk factor for osteoporosis history of anorexia nervosa because of inadequate protein intake a nurse is caring for a client who is in skeletal traction following a femur fracture. on entering, the nurse finds that the client has slid towards the foot of the bed, and the traction weight is...

A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take Ensure the client's weights are hanging freely from the bed. A nurse in a provider's office is reinforcing teaching with a client who has anemia and has been taking ferrous gluconate for several weeks. Which of the following instructions should the nurse include? Take this medication between meals A nurse in a provider's office is reinfo...

Clinical Guidelines in Family Practice 5th Edition Uphold Graham Test Bank Chapter 1 Health maintenance MULTIPLE CHOICE 1.A client is reviewing a videotape without the assistance of the nurse for instruction. The type of teaching strategy this client is using is considered: 1. demonstration. 2. slides. 3. programmed instruction. 4. discussion. 2.The nurse is instructing a client regarding food safety, injury prevention, and occupational health. Which of the following Healthy Peop...

Alabama Massage License Exam cert solution test passed questions and answers 2024 Essential oil commonly used to aid in treatment of insomnia and chronic fatigue syndrome -Ans: Lavender A massage table that is able to be folded and transported easily from one location to another -Ans: Portable Counter-transference -Ans: The massage therapist bringing their own unresolved issues into the therapeutic relationship A client performing an action with the help of the massa...

A) Where peristalsis moves food to stomach B) Receives enzymes from the gallbladder and pancreas to further break down chyme and absorbs nutrients C) Secretes hydrochloric acid and pepsin; converts bolus of food to chyme D) Absorbs, protects, secretes, eliminates E) Temporarily stores feces until elimination 1) Esophagus 2) Rectum 3) Small intestine 4) Stomach 5) Colon - correct answer A-1, B-3, C-4, D-5, E-2 If a patient had to have part of their colon (large intestine) remove...

Health Assessment HESI Exam Questions And All Correct Detailed Answers SOAP modified format - ANSWER- Subjective Objective Assessment Plan What color ink should be used when documenting on paper - ANSWER- Permanent black ink What is the correct order for vital signs? - ANSWER- T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation? - ANSWER- Patient initials and date and time of entry What should be at the end of every documentatio...

NSE 111 Readings & Lecture Test | 280 Questions with 100% Correct Answers | Verified | Latest Update What are critical items for sterilization, disinfection, and cleaning? - Answer ️️ -surgical instruments, intravascular catheters, urinary catheters, needles What are semicritical items for sterilization, disinfection, and cleaning? - Answer ️️ - Electronic thermometers, resp therapy equiment, endotracheal tubes, GI endoscopes, vaginal and nasal specula What are non critical items ...

Health Assessment HESI Exam Questions And All Correct Detailed Answers SOAP modified format - ANSWER- Subjective Objective Assessment Plan What color ink should be used when documenting on paper - ANSWER- Permanent black ink What is the correct order for vital signs? - ANSWER- T, P, RR, BP, extremity, pt position, SPO2 What should be at the top of every page of documentation? - ANSWER- Patient initials and date and time of entry What should be at the end of every documentatio...