Week 5 soap note Study guides, Class notes & Summaries

NSG 6020 Week 5 Soap Note (South University Online) Latest Review 2023 Practice Questions and Answers, 100% Correct with Explanations, Highly Recommended, Download to Score A+ SOAP NOTE Name: D. Spreng Date: 8/22/2018 Time: 1125 Age: 72 Sex: Male SUBJECTIVE CC: Patient presents to the clinic stating “I woke up this morning with blood going out of my ear. When I woke up there was blood on my pillow.” Pt. decided to come in today because his wife was not home this morning and he expre...

HESI EXIT EXAM TEST BANK 2024/2025 HESI EXIT EXAM TEST BANK 2024/2025 1. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? 2. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse ...

NR 511 Week 1 Clinical Readiness Exam – Questions And Answers Define diagnostic reasoning What is subjective data? What is objective data? Components of HPI Why must every procedure code have a corresponding diagnosis code? What are the three components required in determining an outpatient office visit E&M code? What is medical coding? … medical billing? What are CPT codes? —- ICD codes? What is specificity? …… sensitivity? What is predictive value? … elements need to ...

Nurs-6512 Discussion Wk8 Discussion: Assessing Musculoskeletal Pain In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. To prepare: Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/F...

Week 5: Focused SOAP Note Sore Throat Amber LaZelle School of Nursing: Regis College NU-650-09-23PCS3 Adv Hlth Assessment/Nursing Professor Tsahai Hewitt June 4, 2023 Week 5: Focused SOAP Note Sore Throat 06/01/2023, 0900 BL, 21-year-old, male, student Self-reliable Chief Complaint “I have a sore throat, and it is itchy too” Subjective History of Present Illness (HPI) BL is a 21-year-old, Caucasian male who presents to the clinic with complaints of sore throat...

NR 606 Midterm Exam Questions and Answers Latest 2024/2025 | 100% Correct Answers. Before modifying a care plan to meet a patient's changing needs, the nurse'sfirst action should be to: A. re-do the entire care plan B. focus only on the nursing diagnoses with moderate priority C. assess/reassess the patient's responses to interventions D. add more nursing interventions from a standardized plan of care: C. assess/reassess the patient's responses to interventions 2. True or False: Actual ...

Advanced Health Assessment Advanced Health Assessment Student Handbook - 1 - AHAV.1 Advanced Health Assessment Health History . - 4 - Example SOAP note Documentation ........................................................................................................... - 6 - Self-Reflection ...........................................................................................................

Fundamentals CMS Midterm Terms in this set (200) A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high- pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? A. Audible Click B. Murmur C. Third heart sound D. Pericardial friction rub A nurse is obtaining ...

Assume that you have completed a treatment session with your patient, Katie Wild, and now you need to document this treatment session in her chart, using the SOAP note format. Refer to your readings and presentations to make sure you clearly understand what information goes into each section. Katie Wild is a 73-year-old recovering from a total hip replacement. Katie demonstrates decreased lower extremity strength and endurance. She is unable to independently maintain her balance while standin...