A nurse is assessing a client who has a heart rate of 56/min.
Which of the following findings should the nurse expect?

Choice A rationale:

Charting by exception (CBE) is a documentation method in which the nurse documents only unexpected findings or significant deviations from the client's normal condition. It is based on the assumption that the client's baseline status remains within the expected range, and deviations from this norm are documented. CBE is efficient and allows nurses to focus on relevant and critical information, reducing unnecessary documentation. It is particularly useful in clinical settings where frequent assessments are needed.

Choice B rationale:

Focus charting (DAR) is another method of documenting client care that emphasizes a structured approach to documentation, with a focus on data, action, and response (DAR). While it provides a systematic way to document care, it does not necessarily limit documentation to only unexpected findings. Focus charting encourages documentation of care in a problem-oriented manner, which may include expected or routine assessments.

Choice C rationale:

Problem-oriented medical record (POMR) is a documentation system that focuses on organizing client information around specific healthcare problems or diagnoses. It encourages a problem-solving approach to care and promotes the inclusion of a comprehensive client history and care plan. POMR documentation may involve both expected and unexpected findings, so it does not limit documentation to only unexpected findings.

Choice D rationale:

SOAP documentation stands for Subjective, Objective, Assessment, and Plan. It is a structured method of documenting healthcare encounters. SOAP notes include a wide range of information, including both subjective (patient's description of symptoms) and objective (clinician's observations) data. While SOAP notes are organized, they do not specifically limit documentation to only unexpected findings.

Choice C rationale:

Respite care provides support for a client's caregiver. Respite care offers temporary relief or rest for caregivers who are taking care of individuals with chronic illness, disabilities, or those approaching the end of life. It allows caregivers to have a break from their responsibilities, reducing caregiver burnout and stress. This type of support helps maintain the caregiver's physical and emotional well-being, which, in turn, benefits the client's overall care.

Choice A rationale:

Postmortem care is the care provided to a deceased client, and it does not directly support the caregiver of a living client. It is essential for ensuring respectful and appropriate handling of the deceased individual but does not provide support to caregivers.

Choice B rationale:

Home care involves healthcare services delivered in the client's home, which can be beneficial for the client's care but does not specifically address the needs of the caregiver. While it may indirectly ease the caregiver's responsibilities, it is not a service designed to support caregivers directly.

Choice D rationale:

Restorative care focuses on rehabilitation and restoring the client's health and independence, which primarily benefits the client rather than the caregiver. It is not a service aimed at supporting caregivers in the same way that respite care does.