The nurse is documenting with a system that requires an action and a response category. What type of charting system is the nurse using?
1. CBE
2. FOCUS
3. SOAP
4. CORE
2
Rationale: The FOCUS method requires action and responses. CBE is charting by exception. SOAP is a method of recording data using subjective, objective, assessment, and planning data, while CORE is charting focusing on the nursing process.
You might also like to view...
When client care equipment is soiled with blood, body fluids, secretions, or excretions, nurses can avoid contaminating their skin, mucous membranes, and clothing by doing which of the following? (Select all that apply.)
a. requesting new supplies each day b. careful handling or disposal of the equipment c. keeping them in the client's room until discharge to prevent contamination d. using personal protective equipment e. using adequate environmental control procedures
In evaluating a patient's nutrition, the nurse would monitor which blood test as the most sensitive indicator of protein synthesis and catabolism?
a. Albumin b. BUN c. Prealbumin d. Triglycerides
Which of the following aspects should the nurse closely monitor for in a client who has undergone cataract surgery?
A) Feelings of nausea and dizziness B) Increased urine output C) Intense pain in the eye or near the brow D) Development of a "black" eye
The nurse notes that a patient has flaccid muscles. This finding would be documented as being:
a. Hypotonicity c. Hypertrophy b. Spasticity d. Atrophy