An organization uses the SOAP documentation format. In which area should the nurse document the appearance of a client's abdominal wound?
1. Plan
2. Objective
3. Subjective
4. Assessment
2
Rationale 1: The plan includes the next steps determined for the client's care.
Rationale 2: Objective identifies information that can be observed or objectively measured.
Rationale 3: Subjective identifies information that the client states.
Rationale 4: Assessment is the area where a conclusion is drawn from the information collected through subjective and objective findings.
Global Rationale: Objective identifies information that can be observed or objectively measured.The plan includes the next steps determined for the client's care.Subjective identifies information that the client states. Assessment is the area where a conclusion is drawn from the information collected through subjective and objective findings.
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The nurse's comprehensive assessment of an older adult involves the assessment of the patient's gait. How should the nurse best perform this assessment?
A) Instruct the patient to walk heel-to-toe for 15 to 20 steps. B) Instruct the patient to walk in a straight line while not looking at the floor. C) Instruct the patient to walk away from the nurse for a short distance and then toward the nurse. D) Instruct the patient to balance on one foot for as long as possible and then walk in a circle around the room.
Before the insertion of a temporary pacemaker, the nurse should assess the client's (Select all that apply)
a. anxiety level. b. coping mechanisms. c. knowledge level. d. past experience with temporary pacers.
Clomiphene (Clomid, Serophene) is prescribed for a female client to treat infertility. The nurse is providing information to the client and her spouse about the medication. What should the nurse tell the couple?
A. The couple should engage in coitus once a week during treatment B. The health care provider should be notified immediately if breast engorgement occurs C. If the oral tablets are not successful, the medication will be administered intravenously D. Multiple births occur in a small percentage of clomiphene-facilitated pregnancies
The nurse assesses hives in a patient started on a new medication. What is the nurse's priority action?
a. Notify physician of allergic reaction. b. Notify physician of idiosyncratic reaction. c. Notify physician of potential teratogenicity. d. Notify physician of potential tolerance.