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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement indicates an understanding of palliative care services, as they aim to improve the quality of life of people with serious or life altering illnesses by providing symptom relief, emotional support, and spiritual care.
Choice B reason: This statement does not indicate an understanding of palliative care services, as they do not directly provide respite care for caregivers. However, palliative care services may help caregivers cope with the stress and burden of caring for a terminally ill person, and may refer them to other resources that can offer respite care.
Choice C reason: This statement does not indicate an understanding of palliative care services, as they do not require the person to go to a skilled facility. Palliative care services can be provided in various settings, such as hospitals, nursing homes, outpatient clinics, or at home.
Choice D reason: This statement does not indicate an understanding of palliative care services, as they do not provide meal management for the person. However, palliative care services may include nutritionists who can offer dietary advice and guidance for the person, and may coordinate with other services that can help with meal preparation and delivery.
Correct Answer is B
Explanation
Choice A reason: The hospital supervisor is not the first person to notify, as they are not directly responsible for the unit or the staff. The hospital supervisor is usually a senior nurse who oversees the operations of the entire hospital or a specific shift. They may be involved in the later stages of the reporting process, but not as the initial contact.
Choice B reason: The charge nurse is the first person to notify, as they are the immediate supervisor of the unit and the staff. The charge nurse is usually an experienced nurse who coordinates the care and activities of the unit, assigns tasks, and provides guidance and support to the staff. They have the authority and responsibility to address the situation and take appropriate actions.
Choice C reason: The chief nursing officer is not the first person to notify, as they are not directly involved in the unit or the staff. The chief nursing officer is usually the highestranking nurse in the organization, who oversees the nursing practice, quality, and education across the entire system. They may be informed of the situation by the unit director or the hospital supervisor, but not as the initial contact.
Choice D reason: The unit director is not the first person to notify, as they are not directly available on the unit or the staff. The unit director is usually a nurse manager who oversees the administrative and financial aspects of the unit, such as budgeting, staffing, and evaluation. They may be notified of the situation by the charge nurse or the hospital supervisor, but not as the initial contact.
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