A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?
Client's skin is pale and diaphoretic
Client reports chest pain after mowing lawn this morning
Client administered nitroglycerin 0.3 mg SL for chest pain
Client's blood pressure is 182/98 mm Hg
The Correct Answer is B
Choice A reason: Client's skin is pale and diaphoretic is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Choice B reason: Client reports chest pain after mowing lawn this morning is included in the subjective component. The subjective component records the data that the client verbalizes or expresses, such as symptoms, feelings, preferences, and beliefs.
Choice C reason: Client administered nitroglycerin 0.3 mg SL for chest pain is not included in the subjective component, but in the plan component. The plan component records the interventions and actions that the nurse implements or plans to implement for the client, such as medications, treatments, referrals, and education.
Choice D reason: Client's blood pressure is 182/98 mm Hg is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: The use of social media is included in the COE. According to the ICN Code of Ethics for Nurses, nurses should use social media responsibly and ethically, respecting the privacy and confidentiality of patients, colleagues, and employers. Nurses should also avoid posting any information that could harm the reputation of the profession or the health care organization.
Choice B reason: Student nurses are held accountable to the COE. According to the ANA Code of Ethics for Nurses, student nurses are expected to uphold the same ethical standards as registered nurses, as they are members of the profession and the public trust. Student nurses should also adhere to the academic policies and regulations of their educational institutions.
Choice C reason: Criteria for obtaining licensure is not included in the COE. The COE is not a legal document, but a guide for ethical nursing practice and decision-making. Criteria for obtaining licensure is determined by the regulatory bodies of each country or state, and may vary depending on the level and scope of practice.
Choice D reason: Professional expectations are included in the COE. The COE defines and guides the ethical values, responsibilities, and accountabilities of nurses in all settings, roles, and domains of practice. The COE also provides a framework for self-evaluation, peer review, and quality improvement.
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Workshops are a resource that the nurse should include in the teaching. Workshops are short-term educational programs that provide practical skills, knowledge, or experience on a specific topic or area of interest. Workshops can help nurses to update their competencies, learn new techniques, or explore new trends in nursing practice. Workshops can also provide opportunities for networking, collaboration, and feedback from peers and experts.
Choice B reason: Nursing topics on social media are not a resource that the nurse should include in the teaching. Nursing topics on social media are informal and unregulated sources of information that may not be reliable, valid, or evidence based. Nursing topics on social media may also pose ethical and legal risks, such as breaching confidentiality, privacy, or professionalism. Nursing topics on social media may be useful for raising awareness, sharing opinions, or engaging in discussions, but they are not a substitute for formal education or research.
Choice C reason: Online continuing education is a resource that the nurse should include in the teaching. Online continuing education is a form of distance learning that offers courses, modules, or programs that can be accessed through the internet. Online continuing education can help nurses to enhance their knowledge, skills, and attitudes, and to meet the requirements for licensure, certification, or accreditation. Online continuing education can also provide flexibility, convenience, and affordability for nurses who have busy schedules or limited resources.
Choice D reason: Scholarly journals are a resource that the nurse should include in the teaching. Scholarly journals are academic publications that disseminate original research, reviews, or analyses on various topics or fields of study. Scholarly journals can help nurses to keep abreast of the latest evidence, innovations, and best practices in nursing science and practice. Scholarly journals can also stimulate critical thinking, inquiry, and curiosity among nurses who seek to advance their profession and improve their outcomes.
Choice E reason: Nursing blogs online are not a resource that the nurse should include in the teaching. Nursing blogs online are personal or professional websites that feature posts, articles, or stories written by nurses or nursing students. Nursing blogs online may provide insights, perspectives, or experiences on various aspects of nursing, but they may not be objective, comprehensive, or rigorous. Nursing blogs online may also contain errors, biases, or opinions that may not reflect the standards or values of the nursing profession. Nursing blogs online may be enjoyable, inspirational, or motivational, but they are not a source of formal education or research.
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