Soap notes a - Study guides, Class notes & Summaries

I HUMAN CASE STUDY RONNIE LIU 14 YEAR OLD BOY REASON FOR ENCOUNTER PAIN AND SWELLING IN RIGHT ANKLE HISTORY, PHYSICAL, ASSESSMENT, PROBLEM STATEMENT, DIAGNOSES AND SOAP NOTES

SOAP - ANSWER• S = Subjective • O = Objective • A = Assessment • P = Plan SUBJECTIVE - ANSWER-What happened -How it happened -Patient's descriptions -Where it happened (e.g. surface, weather conditions, etc.) -When it happened -Previous history -Any unusual noises/sensations heard/felt -What treatment has been done for it -Etc. OBJECTIVE - ANSWEREverything you SEE and DO Results of limitations, instability, apprehension › General appearance (discolorati...

The brain and spinal cord are included in which of the following? Central nervous sytsem The cranial nerves 31 pairs of spinal nerves, and branches make up which of the following? Peripheral nervous system A rotational sensation of spinning is considered to be which of the following? Vertigo A sensation of numbness and or tingling of the extremities is referred to as which of the following? Paresthesia Lightly touching the cornea with a cotton ball would be exam...

What does "S" stand for in a SOAP note? - ANSWER Subjective What is written in the subjective - ANSWER -Clients report of limitations, concerns, problems -Summarize what the client says that is relavent to tx -Use conversation to build occupational profile -If patient is non-verbal, may need to provide information that was provided by family, caregivers or other professions -EX. Client reports that her shoulder feels better after application of kinesiotape to reduce subluxation

HESI OB MATERNITY 2023-2024 TEST BANK 100 QUESTIONS AND ANSWERS ALREADY GRADED A+. 1. A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 1. The woman should not become pregnant for at least 4 weeks. 2. The woman should pump and dump her breast milk for 1 week. 3. The mother must wear a surgical mask when she cares for the baby. 4. Passive antibodies t...

What does the S in SOAP stand for - correct answer Subjective: Describes the patients condition in a narrative form. How they describe what they're feeling What does the O in SOAP stand for - correct answer Objective: Documents and traceable facts about the patients status What does A in SOAP stand for - correct answer Assessment: the physicians medi...

I HUMAN CASE STUDY RONNIE LIU 14 YEAR OLD REASON FOR ENCOUNTER PAIN AND SWELLING IN RIGHT ANKLE CONTAINING HISTORY, PHYSICAL, ASSESSMENT, PROBLEM STATEMENT, DIAGNOSES AND SOAP NOTES

(The correct answer has been verified, selected and highlighted in yellow for all of the questions below.) 1 What form is used to submit a provider’s charge to the insurance carrier? a. ABN b. UB-04 c. CMS-1500 d. Provider reimbursement form 2 AAPC credentialed coders have proven mastery of what information? a. Code sets b. Evaluation and management principles c. Documentation guidelines d. All of the above 3 When coding an operative report, what action would NOT be recommended? a....

SOAP - ANSWER• S = Subjective • O = Objective • A = Assessment • P = Plan SUBJECTIVE - ANSWER-What happened -How it happened -Patient's descriptions -Where it happened (e.g. surface, weather conditions, etc.) -When it happened -Previous history -Any unusual noises/sensations heard/felt -What treatment has been done for it -Etc. OBJECTIVE - ANSWEREverything you SEE and DO Results of limitations, instability, apprehension › General appearance (discolorati...

BSN 225 - HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS 2023 The nurse is caring for a client on hospice who was started on a 25 mcg/hr Fentanyl patch yesterday at 0800. The nurse completes an assessment today at 2000 and reviews the following assessment data: Yesterday 0800 BP 98/60 HR 110 RR 24 O2SAT 94% PAIN 6/10 INTERVENTIONS Fentanyl patch 25mcg/hr applied Yesterday 2000 100/55 100 20 95% 2/10 Reposition, visiting with family Today 0800 92/40 104 24 92% 4/10 Ice ...