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 reports chest pain after mowing lawn this morning.

Client's blood pressure is 182/98 mm Hg.

Client administered nitroglycerin 0.3 mg SL for chest pain.

Client's skin is pale and diaphoretic.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

In the SOAP charting model, the subjective component is where the client's subjective information and feelings are documented. This includes the client's own reports of symptoms, sensations, and experiences. In this case, the client reporting chest pain after mowing the lawn this morning is a subjective statement made by the client. This information is valuable as it provides insight into the client's perception of their condition and helps healthcare providers understand their symptoms and experiences.

Choice B rationale:

The blood pressure reading (182/98 mm Hg) is an objective measurement, not a subjective statement from the client. Objective data includes measurable and observable information, like vital signs, lab results, and physical examination findings. This type of information is typically documented in the objective component of SOAP charting.

Choice C rationale:

The administration of nitroglycerin (0.3 mg SL) is also an objective action taken by the client, not a subjective statement. It falls under the plan section of the SOAP chart, where healthcare providers outline the actions or interventions taken.

Choice D rationale:

The description of the client's skin (pale and diaphoretic) is also objective data. It represents observable physical signs and is not part of the subjective component, which focuses on the client's own statements and feelings.

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Correct Answer is C

Explanation

Choice A rationale:

Guiding the client away from background noise is a helpful suggestion for a client with hearing loss, but in the context of reviewing discharge instructions, it may not be sufficient. The primary issue is not background noise but the ability of the client to hear and understand the nurse's instructions.

Choice B rationale:

Providing a copy of the instructions printed in Braille is not appropriate for a client with hearing loss. Braille is a tactile reading and writing system for people who are blind or visually impaired. It does not address the client's hearing loss.

Choice C rationale:

Standing next to the client when speaking is the most appropriate action for a nurse when reviewing discharge instructions with a client who has hearing loss. This allows the client to see the nurse's facial expressions, lip movements, and gestures, which can aid in understanding. It also minimizes the distance between the nurse's mouth and the client's ears, making it easier for the client to hear.

Choice D rationale:

While repeating phrases that the client misunderstands is a helpful communication strategy, it should be used in conjunction with standing close to the client, not as the sole method. Standing close and speaking clearly should be the primary approach to facilitate effective communication with a client who has hearing loss.

A. Accountability. B. Confidence. C. Fairness. D. Advocacy.

Correct Answer is A

Explanation

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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?

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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?