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
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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Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is B
Explanation
Instilling the ophthalmic medication directly on the client's cornea is incorrect and could cause discomfort or injury.
B. Applying gentle pressure to the client's nasolacrimal duct after instillation helps to reduce systemic absorption of the medication and minimize side effects.
C. Cleaning the client's eye from the outer canthus to the inner canthus is unnecessary and not a recommended procedure before instillation.
D. Asking the client to tightly squeeze their eyes shut after instillation may not affect the absorption of the medication and is not necessary.
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