Which of the following types of documentation is represented by this statement? "Client is wheezing and experiencing some dyspnea on exertion."
a. The "S" in SOAP documentation
b. Focus documentation
c. The "P" of PIE documentation
d. The "R" in DAR documentation
C
The statement is an example of the "P" of PIE documentation because it describes the client's problem.
The "S" in SOAP documentation represents subjective data (verbalizations of the client).
Focus charting does not concentrate on problems only.
The "R" in DAR documentation is the response of the client. This situation describes the client's problem, not the client's response.
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A client has experienced severe frostbite to the feet and toes. Which of these actions should the nurse take?
a. Administer prophylactic antibiotics. b. Offer the client several cups of hot coffee to assist in rewarming. c. Massage the injured areas as they rewarm, to promote circulation. d. Provide rapid rewarming using warm-water baths.
A patient prescribed a systemic antifungal drug reports a change in how food tastes. What is your best action?
a. Document the report as the only action. b. Hold the dose and notify the prescriber immediately. c. Caution the patient to wear sunglasses and a hat when outside. d. Reassure the patient that this is a common side effect of the drug.
A female patient is concerned after learning that a person, with whom she had a casual sexual encounter, has been diagnosed as being HIV positive. Which of the following should be explained to this patient?
1. An HIV positive status will manifest in a few months so all exposures will lead to disease. 2. Be sure to be tested in one month to see if the disease was transmitted to you. 3. An individual may be exposed to the virus but neither carry nor contract the disease. 4. I would not worry about it because you probably did not get enough of a viral load.
Health beliefs vary among the cultural groups living in the United States. The belief that health is "a state of harmony with nature and the universe" is common in which culture?
a. Japanese c. Native American b. African-American d. Hispanic American