A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Objective

Plan

Action

Subjective

Answer and Explanation

The Correct Answer is A

A. Vital signs should be documented in the Objective section of the SOAP note because they are measurable, observable data.
B. The Plan section outlines the actions and treatments planned based on the assessment data.
C. The Action section details the specific interventions carried out during the client's care.
D. The Subjective section includes the client's perceptions, feelings, and statements about their health.

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Correct Answer is B

Explanation

A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.

A. Answer: 2 tablets B. Rationale: C. To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets. D. 2. A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? E. Inhale rapidly when using the spacer with the MDI.

Correct Answer is B

Explanation

A. Inhaling rapidly with the spacer can lead to improper medication delivery, potentially reducing the effectiveness of the treatment.
B. The spacer does indeed increase the amount of medication reaching the lungs by reducing deposition in the mouth and throat, enhancing the therapeutic effect of the MDI.
C. Covering the exhalation slots of the spacer can interfere with proper inhalation technique, impacting medication delivery to the lungs.
D. The spacer is designed to minimize medication deposition in the oropharynx, optimizing delivery to the lungs for better therapeutic outcomes.

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A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

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