The documentation format that uses the acronym SOAPE is:
a. problem-oriented.
b. focused.
c. traditional.
d. crisis.
A
The problem-oriented medical record uses the acronym SOAPE to format and focus charting on a list of patient problems/nursing diagnoses.
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A union representative has issued a written appeal to the CNO (chief nurse officer) regarding an employee?s verbal reprimand. Which action by the CNO would be appropriate?
1. Inform the CEO (chief executive officer) of the appeal. 2. Notify the hospital?s legal counsel. 3. Call the employee and obtain information regarding the reprimand. 4. Arrange a meeting with the employee, agent, and grievance chairperson.
When an American Indian patient requests that an egg yolk be placed in a saucer and put under his bed to absorb the pain, the nurse should:
a. explain that medication will relieve the pain better. b. place the egg in a saucer under the bed. c. ask the physician for permission. d. warn that housekeeping staff will remove the egg.
A nurse identifies a nursing diagnosis of Constipation related to the effects of the prescribed cholinergic blocking drug. Which of the following would the nurse expect to include in the client's plan of care? Select all that apply
A) Encouraging the intake of a diet high in fiber B) Decreasing the dosage of the cholinergic blocking medication C) Increasing client's fluid intake to at least 2000 mL daily D) Withholding the drug until the client resumes usual bowel pattern E) Encouraging ambulation and exercise as appropriate
The nurse is caring for a chronic heart failure patient with left-sided failure. Which documentation should the nurse expect to see in the medical record after this patient has a cardiac catheterization?
1. "Pressures in the left ventricle and atrium are increased." 2. "Pressures in the left ventricle and atrium are decreased." 3. "Pressures in the right ventricle and atrium match the ventricle pressures." 4. "Pressures in the right ventricle reflect functioning of all heart chambers."