A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Objective

Plan

Action

Subjective

Answer and Explanation

The Correct Answer is A

A. Vital signs should be documented in the Objective section of the SOAP note because they are measurable, observable data.
B. The Plan section outlines the actions and treatments planned based on the assessment data.
C. The Action section details the specific interventions carried out during the client's care.
D. The Subjective section includes the client's perceptions, feelings, and statements about their health.

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Correct Answer is C

Explanation

Answer: C
A. Ensuring fluid and electrolyte balance is maintained is an important aspect of patient care but is not the primary reason for flushing the feeding tube between medications.
B. While giving the patient fluid intake is beneficial, the primary purpose of flushing the tube between medications is to prevent interactions between different medications.
C. Flushing the feeding tube with water between medication administrations helps prevent interactions between medications that may be incompatible, ensuring each medication is delivered effectively and safely.
D. This option is incorrect because flushing the tube between medications serves a specific purpose related to medication administration and safety.

A. Bring the dropper from below the client's eye to instill the solution. B. Hold the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac. C. Instill the drops into the inner canthus. D. Ask the client to look down when instilling the solution.

Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

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A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Why is it necessary to flush a feeding tube with water between each medication administration?

Correct Answer is C

Explanation

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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