Week 2 soap note - Study guides, Class notes & Summaries

NR 509 WEEK 2 SOAP Note Template Initials: TJ Age: 28 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Ratingwh 0/10 Allergies (and reaction) 170 cm 89 kg 140/ 81 89 20 98.5 97 Medica tion: Penicillin – rash/hives Food: n/a Environment: Cats – Sneezing, itching, asthma attacks, rhinorrhea History of Present Illness (HPI) Chief Complaint (CC) breathing problems, chest tightness, and wheezing CC is a BRIEF statement identifying why the patient is here - in the patie...

NRNP 6540 Week 2 SOAP Note | Advance Practice Care of Frail Elders

NRNP 6540 Week 2 SOAP Note | Advance Practice Care of Frail Elders. History of Present Illness (HPI): BW is a 67 YO, female, AA who is brought in today by her daughter with increased forgetfulness, confusion, lack of short-term memory and inappropriate laughing which has gotten progressively worse recently. She has a history of hypertension, hyperlipidemia, and osteoporosis which are controlled with medication. She denies any vision changes, dizziness, headaches, or vertigo. She reports ost...

NSG 6435 Week 2 SOAP NOTE (South University Online) Latest Verified Review 2023 Practice Questions and Answers for Exam Preparation, 100% Correct with Explanations, Highly Recommended, Download to Score A+ Child Profile: Activities of Daily Living (age appropriate): The child is able to feed, bathe, and dress herself independently. The patient states that she has two chores which include making her bed every morning before school and helping walk and feed the family dog. The patient states th...

Week 2 - Elements Of A SOAP Note Assignment (Electronic Health Records) With Complete Solutions Latest Update

Before modifying a care plan to meet a patient's changing needs, the nurse's first action should be to: A. re-do the entire care plan B. focus only on the nursing diagnoses with moderate priority C. assess/reassess the patient's responses to interventions D. add more nursing interventions from a standardized plan of care - C. assess/reassess the patient's responses to interventions True or False: Actual or potential health problems that can be prevented or resolved by dependent nursin...

Advanced Health Assessment Exam with Correct Solutions What is the name of the format commonly used to organize data obtained during the history and physical examination? - Answer -Problem-Oriented Medical Record What are the components of a SOAP note? - Answer -S = subjective O = objective A = assessment P = plan In which section of a SOAP note does the following information belong: Patient's heart rate is 72 - Answer -Objective In which section of a SOAP note does the following info...

NR 606 Midterm Exam Questions and Answers Latest 2024/2025 | 100% Correct Answers. Before modifying a care plan to meet a patient's changing needs, the nurse'sfirst action should be to: A. re-do the entire care plan B. focus only on the nursing diagnoses with moderate priority C. assess/reassess the patient's responses to interventions D. add more nursing interventions from a standardized plan of care: C. assess/reassess the patient's responses to interventions 2. True or False: Actual ...

NRNP 6540 Week 2 SOAP Note | Advance Practice Care of Frail Elders. History of Present Illness (HPI): BW is a 67 YO, female, AA who is brought in today by her daughter with increased forgetfulness, confusion, lack of short-term memory and inappropriate laughing which has gotten progressively worse recently. She has a history of hypertension, hyperlipidemia, and osteoporosis which are controlled with medication. She denies any vision changes, dizziness, headaches, or vertigo. She reports os...

Fundamentals CMS Midterm Terms in this set (200) A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high- pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? A. Audible Click B. Murmur C. Third heart sound D. Pericardial friction rub A nurse is obtaining ...