The nurse is documenting information about the client using Problem-Oriented Charting and the acronym SOAP. Rank the following pieces of information in the order that they should be documented
Standard Text: Click and drag the options below to move them up or down. 1. The client's skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90% on room air. The client was diagnosed with COPD in 1993.
2. The nurse will apply oxygen at 2 liters per minute, per healthcare provider's orders when the client's oxygen saturation level is below 92%.
3. The client states, "I am so tired all of the time. I feel like I'm not getting enough air into my lungs.".
4. The client is most likely experiencing an exacerbation of a chronic lung disease.
3,1,4,2
Rationale 1: "S" refers to subjective data that are provided by the client regarding the symptoms that the client is experiencing.
Rationale 2: "O" refers to objective data. The nurse documents information about the signs that the client is exhibiting.
Rationale 3: "A" refers to assessment. The nurse draws conclusions regarding the subjective and objective data that the nurse has collected about the client.
Rationale 4: "P" refers to planning. Planning indicates that interventions that the nurse can use to help resolve the client's problems or address the client's needs.
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