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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Correct Answer is B
Explanation
A. Sublingual medications are meant to be absorbed under the tongue and should not be administered through an NG tube, which bypasses this route of absorption.
B. Administering the medication under the tongue is the correct route for sublingual administration. It ensures that the medication is allowed to dissolve completely and is not swallowed immediately. This allows for the intended rapid absorption through the sublingual route.
C. If a client has an NG tube and needs a medication that is typically given sublingually, the nurse should administer the medication under the tongue.
D. Dissolving sublingual medication in water for NG tube administration is not appropriate as it alters the intended route of absorption.
Correct Answer is B
Explanation
A. Waiting to document medications until the end of a shift increases the risk of errors and delays in patient care due to potential inaccuracies.
B. Avoiding distractions during medication preparation helps maintain focus and reduces the likelihood of errors.
C. Preparing medications for multiple clients simultaneously increases the risk of medication mix-ups and errors.
D. Medications should not be removed from automatic dispensing systems before review by pharmacists, as this can lead to medication errors and compromised safety protocols.
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