A nurse is using the SOAP documentation format to chart on their patient in a systematic and organized way. When using SOAP, what sections would be present in the charting? Select all that apply.

Assessment.

Subjective.

Plan.

Problems.

Answer and Explanation

Correct Answer : A,B,C

SOAP is an acronym for subjective, objective, assessment, and plan, which are the four sections that should be present in the charting. The subjective section includes the client's report of symptoms or how they feel. The objective section includes the nurse's observations of the patient, such as vital signs and physical examination findings. The assessment section includes the nurse's analysis of the subjective and objective data to identify health problems, while the plan section includes the nurse's plan of care for the patient, including interventions and goals.

The problem section is not typically included in SOAP documentation but may be included in other formats such as SOAPIE or DAR.

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Correct Answer is B

Explanation

The correct answer is B. Sanguinous. Sanguinous drainage is bright red, indicating fresh bleeding, and may be seen in the first few hours after surgery. Dark red drainage may indicate that there is an increase in bleeding, and the nurse should notify the provider immediately. Serosanguineous drainage is pink in color and consists of both blood and serum. Purulent drainage is thick, yellow or green in color and consists of pus, indicating an infection. Serous drainage is clear or light yellow in color and contains serum without red blood cells.

A. increased respiratory rate B. confusion C. cyanosis D. restlessness E. dyspnea F. Bradychardia G. Hypertension H. Nausea and vomiting

Correct Answer is ["A","B","C","D","E"]

Explanation

The correct answer is choices A, B, C, D, and E.

Hypoxia occurs when there is inadequate oxygen supply to the body's tissues. Signs of hypoxia can vary depending on the severity of the condition. The following signs can indicate hypoxia:

Increased respiratory rate - Hypoxia can cause an increased respiratory rate as the body tries to increase oxygen levels in the blood.
Confusion - Hypoxia can affect cognitive function, leading to confusion.
Cyanosis - Hypoxia can cause a blue or purple discoloration of the skin, lips, or nail beds due to the lack of oxygen.
Restlessness - Hypoxia can cause restlessness or agitation.
Dyspnea - Hypoxia can cause difficulty breathing, also known as dyspnea.
Bradycardia - Bradycardia, or a slow heart rate, is not typically a direct sign of hypoxia. Hypoxia often leads to tachycardia (increased heart rate) as the body tries to compensate for low oxygen levels.
Hypotension - While severe hypoxia can eventually lead to changes in blood pressure, hypotension (low blood pressure) is not a primary sign of hypoxia. Typically, hypoxia might cause hypertension or have no immediate impact on blood pressure.
Nausea and Vomiting - While nausea and vomiting can be related to various conditions, they are not specific signs of hypoxia. These symptoms might occur due to other issues or as a secondary effect in some cases, but they are not primary indicators of hypoxia.

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A nurse is using the SOAP documentation format to chart on their patient in a systematic and organized way. When using SOAP, what sections would be present in the charting? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse caring for a post-operative client observes the drainage in the client's closed wound drainage system. The drainage is dark red in color. The nurse documents the drainage as which of the following?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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