A nurse is using the DAR format to write a progress note for a client who has a history of hypertension.

Which of the following statements should the nurse include as the action?

“Instructed the client on low-sodium diet and exercise.”

This is the action that the nurse took to address the client’s problem of hypertension.

The action should describe the nursing intervention that was performed to help the client achieve the expected outcome.

Choice A is wrong because it is not an action, but a data.

Data is the information that the nurse collected about the client’s condition, such as vital signs, symptoms, or test results.

Data should be factual and objective.

Choice C is wrong because it is not an action, but a response.

Response is the outcome or result of the nursing intervention, such as the client’s reaction, behavior, or change in condition.

Response should be measurable and evaluative.

Choice D is wrong because it is not an action, but a focus.

Focus is the reason or purpose for writing the note, such as a nursing diagnosis, a change in condition, or a patient education need.

Focus should be concise and specific.

DAR format is a method of nursing documentation that stands for Data, Action, and Response.It is a form of focus charting that records significant events or changes in the client’s condition that require nursing care.DAR notes are organized, concise, and informative, and they help to communicate the nursing process and plan of care among health care providers.

“Administered bisacodyl suppository as prescribed.”.

The PIE format is a method of documentation that states theproblemor diagnosis (P), theinterventionor action the nurse takes (I), and theevaluationof the results (E).It eliminates the need for a traditional care plan by incorporating it into the progress notes.

The intervention is the action that the nurse takes to address the problem.

In this case, the problem is constipation, and the intervention is administering a bisacodyl suppository as prescribed by the physician.

This is a specific and measurable action that can be evaluated later.

Choice A is wrong because it is not an intervention, but a health promotion activity.

Encouraging the client to increase fluid and fiber intake is a good practice, but it is not directly related to the problem of constipation.

Choice B is wrong because it is not an intervention, but an assessment.

Assessing the client’s bowel sounds and abdominal distension is part of the data collection process, but it does not solve the problem of constipation.

Choice D is wrong because it is not an intervention, but an evaluation.

Evaluating the client’s response to the suppository is the last step of the PIE format, where the nurse determines if the intervention was effective or not.

It does not describe what the nurse did to address the problem of constipation.

The normal range for bowel movements varies from person to person, but generally, having less than three bowel movements per week is considered constipation.Constipation can be caused by various factors, such as medication side effects, dehydration, low-fiber diet, lack of physical activity, or underlying medical conditions.