The nurse is documenting using the SOAP format. This type of documentation is considered:
a. narrative.
b. source oriented.
c. problem oriented.
d. charting by exception.
ANS: C
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The doctor has ordered either heat or cold treatments for the older adult patient with a leg injury. The nursing care plan reflects secondary diagnoses of peripheral vascular disease (PVD), diabetes, and allergy to latex
Which of the ordered treatments would the nurse ad-minister, and why? 1. The nurse will use cold because diabetics and persons with latex allergies are heat-intolerant. 2. The nurse will use the cold for this patient with a fracture because the cold will help set the cast. 3. The nurse will use heat because cold is contraindicated for patients with periph-eral vascular disease. 4. The nurse will use heat because that will speed up circulation and increase infec-tion in the injured part.
Which of the following is the primary focus of Healthy People 2020?
a. Improving the health of individuals b. Improving the health of children c. Improving the health of families d. Improving the health of communities
The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should include which of the following? Select all that apply
1. Diagnosed learning needs 2. Supplies required 3. Client outcomes 4. Need for additional teaching 5. Topics taught
Before conducting a health assessment on a patient, the nurse should first
A) Ask a family member to be present for the assessment B) Tell the patient the amount of time for the assessment C) Inform the patient of the procedure done in the assessment D) Introduce herself or himself to the patient