A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse.
The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?

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.

The correct answer is Choice D: Palliative care can be provided while a client is receiving curative treatment.

Choice A rationale:

The goal of palliative care is not to cure an acute illness but to provide relief from symptoms and improve the quality of life for clients with serious illnesses.

Choice B rationale:

Palliative care is not restricted to clients who are terminally ill. It can be provided to anyone with a serious illness, regardless of the stage of the disease or the need for other therapies.

Choice C rationale:

Palliative care is not limited to clients in a healthcare facility. It can be provided in various settings, including at home, in outpatient clinics, and in long-term care facilities.

Choice D rationale:

Palliative care can be provided alongside curative treatments. It is designed to improve the quality of life for both the patient and the family by addressing physical, emotional, and psychosocial needs.