Adult soap note Study guides, Class notes & Summaries

Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to achieve comfort Electronic health record: - Systematic collection of a patient's health care and treatment in a digital format Mistakes in documentation that commonly result in malpractice: - - failing to record pertinent health or drug information - failing to record nursing actions - failing to record medication administration - failing to record drug reactions or changes in patient's condition...

NURS 697L Problem-Focused SOAP Note week 4 fall 2023 with complete solution Problem-Focused SOAP Note NAME West Coast University NURS 697L - Adult Care Adult and Geriatric Patient Practicum II Professor: 04 June 2023 Problem-Focused SOAP Note Demographic Data ● Patient initial: R. M. ● Age: 38 ● Gender: Male Subjective ● Chief Complaint (CC): Sharp, diffuse, and constant abdominal pain started since 11:00 am, June 1st, 2023. ● History of...

NRNP 6540 Week 10 Focus SOAP Note- Musculoskeletal/Neurological Jamie Boggs NRNP 6540 Dr. Petko Walden University May 10, 2021 Week 10 Focused SOAP Note- Musculoskeletal/Neurological Patient Information: M.L., 66 y.o., Male, Hispanic S (subjective) CC (chief complaint): Acute aphasia, right facial droop, and right-sided weakness. HPI (history of present illness): M.L., is a 66 y.o., Hispanic, male who presents to the ED after EMS was called by a co-worker for acute ap...

NURS 697L Problem-Focused SOAP Note week 4 fall 2023 with complete solution Problem-Focused SOAP Note NAME West Coast University NURS 697L - Adult Care Adult and Geriatric Patient Practicum II Professor: 04 June 2023 Problem-Focused SOAP Note Demographic Data ● Patient initial: R. M. ● Age: 38 ● Gender: Male Subjective ● Chief Complaint (CC): Sharp, diffuse, and constant abdominal pain started since 11:00 am, June 1st, 2023. ● History of...

Clinical Theory Final Exam Questions with Correct Answers 100% Verified describe the changes that occur in the enamel prior to appearance of white spots - Correct Answer Mineral is lost and becomes more porous What is the purpose of obtaining a complete medical and dental hx? - Correct Answer · Safe treatment can be provided to the patient · Ensures that the dental care treatment plan is consistent with the patient's health status · To avoid potential medical emergencies in the office ...

PREDICTOR HESSI 05/2018 1. An older adult resident of a long-term care facility has a 5-year history of hypertension. The client has a headache and rate the pain 5 on a pain scale 0 to 10. The client’s blood pressure is currently 142/89. Which interventions should the nurse implement? (Select all that apply) A. Administer a daily dose of lisinopril as scheduled. B. Assess the client for postural hypotension. C. Notify the healthcare provider immediately D. Provide a PRN dose of acetamin...

HESI RN EXIT EXAM 2023 LATEST UPDATE {VERIFIED QUESTIONS AND ANSWERS} GRADED A The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Tachycardia and tachypnea B. Sluggish and unequal pupillary responses C. Increased head circumference and bulging fontanels D. Blood pressure fluctuations and syncope - answ...

NR 602 Final Exam Questions and Answers Already Passed A mother presents with her 3 month old child and complains of goopy eye that is sometimes matted shut after naps. Upon exam the conjunctiva is clear with some mild crusting to eye lashes. What is the diagnosis and patient teaching? Probable lacrimal duct obstruction. -The baby will likely grow out if it somewhere between six and 12 months. -You can do a daily lacrimal duct massage and warm compresses to help open up the duct. -W...

CN 1- olfactory test - o With person's eyes closed, occlude one nostril and present familiar aromatic substance -e.g., coffee, orange, vanilla, soap, or peppermint CN II- optic test - o Test visual acuity (eye exam chart) and visual fields by confrontation (peripheral vision) CN III, IV, and VI- oculomotor, trochlear, and abducens nerves - eye lid blink pupils (size, regularity, equality, direct and consensual light reaction, and accommodation) eye up, down, side to side movement, cross ...

NHA Medical Assistant (CCMA) Exam solution Test bank. Where do cardiac electrical impulses originate in the heart? - Sinoatrial node According to the regulation of controlled substances, which of the following is true of a Schedule 1 drug? - have no accepted medical use A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. What following action should the assistant take? - remain within the patient's view to allow lip-reading...