Soap note lr - Study guides, Class notes & Summaries

NURSING 650 Week 3 SOAP note SUBJECTIVE DATA IDENTIFYING DATA Initials: L. Age: 56 Race: Caucasian Gender: Female Marital Status: In a monogamous relationship Source: Patient – appears to be a reliable source of information, alert and orients to person, place, time, and situation; ready recall and understanding of medical HX CHIEF COMPLAINT : “I reinjured my shoulder in November and it still isn’t healed.” HISTORY OF PRESENT ILLNESS: O Patient reports injury occurred in November when she...

What is the most important sign in a critically ill pt? Why? - Correct answer-Tachypnea Indicates metabolic acidosis (often w/ respiratory alkalosis compensation) A pt misses dialysis for a few days and comes in with fluid overload. He's tachycardic and tachypneic. On physical exam, you find JVD, pulsus paradoxus (20 mmHg drop during inspiration), and HoTN (80/40) with distant, muffled heart sounds. Lungs are clear to auscultation. What is the dx? - Correct answer-Cardiac tamponade; obstru...

NUR 209 Final Exam Review. Final Exam Review Safety (9/5) ⟶ Defines as the state of being free from harm or danger ⟶ Multiple healthcare settings have different safety concerns ⟶ Nurse must assess the patient, their equipment, and the environment and plan to maintain safety ⟶ Perform a risk assessment o Falls o Malnutrition o Bed sores Risk Assessment Screening Tools ⟶ Braden Scale for Bed Sore Risk o 0-23 o 23: Low risk o <9: High risk ⟶ Hendrich II Fall Risk ...

>ATI – NCLEX Predictor Remediation Study Notes Renal Calculi - Pain: Flank pain → Kidney or Ureter (if pain radiates → stones in ureter or bladder) Performing Ear Irrigation: Sterile techn ique, warm meds, pull up & back, tilt toward affected ear Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA – clot buster) w/ in 4.5 hours of initial symptoms Trach care: Dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot Head injury (changes in LOC): Length of time unconsci...

ATI CMS FUNDAMENTAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES 2023 LATEST VERSION Ch. 1) A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers Correct Ans - A, B, D Rationale: A. Restorative health care involves immediate follow up care for restoring healt...

ATI CMS FUNDAMENTAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES 2023 LATEST VERSIONCh. 1) A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers Correct Ans - A, B, D Rationale: A. Restorative health care involves immediate follow up care for res...

Med Surg 1, 2 & Comprehensive Rationales Med Surg 1A Topics 1. Cushing’s Syndrome (2 questions) → hypersecretion of ACTH (hormone that allows body to react to stress) ○ ● Signs & Symptoms → fatigue, muscle weakness, weight gain, thinning extremities, thin & fragile skin, moon face & ruddy complexion, hirsutism, truncal obesity, broad purple striae, bruising, impaired wound healing, increased blood pressure & sodium, hypokalemia, hyperglycemia, buffalo hump, DM ● Treatment →...

Week 3soap notesoapnursing 650nursingcaucasianfemaleI re injured my shoulder in November and it still isn’t healedInitials: L. Age: 56 Race: Caucasian Gender: Female Marital Status: In a monogamous relationship Source: Patient – appears to be a reliable source of information, alert and orients to person, place, time, and situation; ready recall and understanding of medical HXPatient reports injury occurred in November when she was on a ladder that started to tip; when her arms swung up to ca...

NCLEX Cheat Sheet Your Paperless Flash Card Study Guide Hey there so before you dive right into the cheat sheet, just want to tell you what it’s going to be covering and give you a few pointers on how to study. First is I created a pharmacology table. I listed all the suffices of every medication as well as their rationale and common side effects. What I want you to do is continue studying in detail all the most common drugs that you’ve been taught will be on the NCLEX exam but also m...