The nurse manager is reviewing the following SOAP chart entries for a recently licensed nurse. Which of the following entries indicate that the nurse needs further instruction concerning documentation?
1. S: The client states, " I am so nauseated."
2. O: The client reports feeling fatigued.
3. A: Bowel sounds are high-pitched in all abdominal quadrants.
4. P: The client will remain NPO.
4
Rationale 1: S refers to subjective data. Client reports are examples of subjective information.
Rationale 2: S refers to subjective data. Client reports are examples of subjective information.
Rationale 3: A refers to assessment. The characteristics of the client's bowel sounds represents of an assessment.
Rationale 4: P refers to planning. Planning indicates actions taken to resolve or address the client's needs.
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