Soap notes a - Study guides, Class notes & Summaries

SOAP - ANSWER• S = Subjective • O = Objective • A = Assessment • P = Plan SUBJECTIVE - ANSWER-What happened -How it happened -Patient's descriptions -Where it happened (e.g. surface, weather conditions, etc.) -When it happened -Previous history -Any unusual noises/sensations heard/felt -What treatment has been done for it -Etc. OBJECTIVE - ANSWEREverything you SEE and DO Results of limitations, instability, apprehension › General appearance (discolorati...

I HUMAN CASE STUDY RONNIE LIU 14 YEAR OLD BOY REASON FOR ENCOUNTER PAIN AND SWELLING IN RIGHT ANKLE HISTORY, PHYSICAL, ASSESSMENT, PROBLEM STATEMENT, DIAGNOSES AND SOAP NOTES

BSN 225 - HESI FUNDAMENTALS EXAM QUESTIONS AND ANSWERS 2023 The nurse is caring for a client on hospice who was started on a 25 mcg/hr Fentanyl patch yesterday at 0800. The nurse completes an assessment today at 2000 and reviews the following assessment data: Yesterday 0800 BP 98/60 HR 110 RR 24 O2SAT 94% PAIN 6/10 INTERVENTIONS Fentanyl patch 25mcg/hr applied Yesterday 2000 100/55 100 20 95% 2/10 Reposition, visiting with family Today 0800 92/40 104 24 92% 4/10 Ice ...

What does "S" stand for in a SOAP note? - ANSWER Subjective What is written in the subjective - ANSWER -Clients report of limitations, concerns, problems -Summarize what the client says that is relavent to tx -Use conversation to build occupational profile -If patient is non-verbal, may need to provide information that was provided by family, caregivers or other professions -EX. Client reports that her shoulder feels better after application of kinesiotape to reduce subluxation

What does the S in SOAP stand for - correct answer Subjective: Describes the patients condition in a narrative form. How they describe what they're feeling What does the O in SOAP stand for - correct answer Objective: Documents and traceable facts about the patients status What does A in SOAP stand for - correct answer Assessment: the physicians medi...

I HUMAN CASE STUDY RONNIE LIU 14 YEAR OLD REASON FOR ENCOUNTER PAIN AND SWELLING IN RIGHT ANKLE CONTAINING HISTORY, PHYSICAL, ASSESSMENT, PROBLEM STATEMENT, DIAGNOSES AND SOAP NOTES

SOAP - ANSWER• S = Subjective • O = Objective • A = Assessment • P = Plan SUBJECTIVE - ANSWER-What happened -How it happened -Patient's descriptions -Where it happened (e.g. surface, weather conditions, etc.) -When it happened -Previous history -Any unusual noises/sensations heard/felt -What treatment has been done for it -Etc. OBJECTIVE - ANSWEREverything you SEE and DO Results of limitations, instability, apprehension › General appearance (discolorati...

ATI RN Fundamentals 2019 Practice Exam Form B with NGN| Questions and Answers with Rationales| Latest Update 1. A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply.) A. Place the client in a room with negative-pressure airflow. B. Wear gloves when assisting the client with oral care. C. Limit each visitor to 2-hr increments. D. Wear a surgical mask when providing client care. E. Use antimicrobial sanitizer fo...

ATI LEADERSHIP PROCTORED EXAM TEST BANK (5 VERSIONS COMBINED) 100% CORRECT QUESTIONS AND ANSWERS LATEST UPDATED APRIL 2023 GRADED A+. VERSION 1 ATI LEADERSHIP PROCTORED EXAM 1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire safety. Place the steps in the order in which they should be performed in the case of a fire emergency. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the step...

Med-Surg II HESI Test Bank_ Complete Updated fall 2022-2023. - A nurse is collecting data from a client who has a possible cataract. Which of the following manifestations should the nurse expect the client to report? 1) Decreased color perception 2) Loss of peripheral vision 3) Bright flashes of light 4) Eyestrain - A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.) 1) E...