Soap notes test exam - Study guides, Class notes & Summaries

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a "body-wracking dry cough" of 6 weeks duration. C. ...

NUR 6512 MIDTERM EXAM WITH COMPLETE SOLUTIONS What soothes or aggravates the problem? SOAP Notes - S Subjective data—the information, including the absence or presence of pertinent symptoms, that the patient tells you O Objective data—your direct observations from what you see, hear, smell, and touch and from diagnostic test results A Assessment—your interpretations and conclusions, your rationale, the diagnostic possibilities, and present and anticipated problems P Plan—dia...

HESI EXIT EXAM TEST BANK 2024/2025 HESI EXIT EXAM TEST BANK 2024/2025 1. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? 2. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse ...

LEIK FNP 2 practice questions & Answers. Latest version of exam predictor questions. Rated A An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule and pustules are present mostly on the forehead and the chin area. The patient has been using prescription topical and OTC medicated soap daily for 6 moths without much improvement. What would you recommend? - Tetracycline (Sumycin) The following statements are true regarding herpes - D/T reactivation of laten...

HESI Fundamentals Exam V6 (VERSION 6) (130 Questions with Answers) (2023/2024) (Graded A+) HESI Fundamentals Exam V6 (VERSION 6) 1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." 2. A nurse is caring for a client who is postoperative and h...

2023 ATI RN Maternal Newborn Proctored 2019 NGN (REVISED FULL EXAM). ATI Maternal Newborn Proctored Exam (2021/2023) ATI Maternal Newborn Proctored Exam (Detail Solutions and Resource for the test) 1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) day...

NCTRC Exam PrepAPIED Process Assessment: information gathering process that identifies the client's level of functioning in TR services. Planning: Begins after assessment. Can plan for department, program and individual client. Implementation: "put it into action!" Evaluation: After observing the client, determine any take aways. "How can I make it better? .. What worked and didn't work?" Documentation: Document progress or decline of level of functioning (Progress notes!!) Pos...

What was the child from TGMD-2 best at? - correct answer object control skills -50th percentile locomotor skills -5th percentile Why SOAP notes? - correct answer 1. written record organizes info -from history and physical exam 2. clearly communicates clinical issues -to entire health care team -facilitate clinical reasoning What is included in SOAP notes? - correct answer ...

NCCT Medical Assistant Certification Practice Test Exam Final Q&A The medical assistant is trying to print copies of patients records but is having trouble getting the documents to print. he has ruled out probles with the paper supply, printer cartridges and paper jams. The medical assistant should then check to determine if the - CORRECT ANSWER-Correct printer is set as the default. The medical assistant is entering the patient's chief complaint into the medical record, Which of th...

Regis NU650: Advanced Health Assessment/Nursing Final NU 650 Week 15 Final Exam Question 1When you are assessing the internal structures of the eye, absence of a red reflex may indicate: a.Cataract or hemorrhage into the vitreous humor b.Acute iritis c.A normal finding in older adults d.Diabetes or long-standing hypertension Question 2Which of the following is the correct statement regarding the size of the arterioles and veins in the fundi of the eye? a.The veins and t...