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's skin is pale and diaphoretic
Client reports chest pain after mowing lawn this morning
Client administered nitroglycerin 0.3 mg SL for chest pain
Client's blood pressure is 182/98 mm Hg
The Correct Answer is B
Choice A reason: Client's skin is pale and diaphoretic is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Choice B reason: Client reports chest pain after mowing lawn this morning is included in the subjective component. The subjective component records the data that the client verbalizes or expresses, such as symptoms, feelings, preferences, and beliefs.
Choice C reason: Client administered nitroglycerin 0.3 mg SL for chest pain is not included in the subjective component, but in the plan component. The plan component records the interventions and actions that the nurse implements or plans to implement for the client, such as medications, treatments, referrals, and education.
Choice D reason: Client's blood pressure is 182/98 mm Hg is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement indicates an understanding of palliative care services, as they aim to improve the quality of life of people with serious or life altering illnesses by providing symptom relief, emotional support, and spiritual care.
Choice B reason: This statement does not indicate an understanding of palliative care services, as they do not directly provide respite care for caregivers. However, palliative care services may help caregivers cope with the stress and burden of caring for a terminally ill person, and may refer them to other resources that can offer respite care.
Choice C reason: This statement does not indicate an understanding of palliative care services, as they do not require the person to go to a skilled facility. Palliative care services can be provided in various settings, such as hospitals, nursing homes, outpatient clinics, or at home.
Choice D reason: This statement does not indicate an understanding of palliative care services, as they do not provide meal management for the person. However, palliative care services may include nutritionists who can offer dietary advice and guidance for the person, and may coordinate with other services that can help with meal preparation and delivery.
Correct Answer is D
Explanation
Choice A reason: Eddie Bernice Johnson is not the founder of the American Red Cross, but rather a contemporary politician and nurse. She is the first registered nurse elected to the United States Congress, where she represents Texas's 30th congressional district.
Choice B reason: Florence Nightingale is not the founder of the American Red Cross, but rather the founder of modern nursing. She is known for her pioneering work in nursing education, research, and reform, especially during the Crimean War, where she improved the sanitary conditions and reduced the mortality rate of wounded soldiers.
Choice C reason: Dorothea Dix is not the founder of the American Red Cross, but rather a social reformer and advocate for the mentally ill. She is known for her efforts to improve the treatment and care of the mentally ill in the United States and Europe, and for organizing nurses during the American Civil War.
Choice D reason: Clara Barton is the founder of the American Red Cross, as well as a nurse and humanitarian. She is known for her service as a nurse during the American Civil War, where she tended to the wounded on the battlefield and distributed supplies. She also founded the American Red Cross in 1881, after learning of the International Red Cross in Switzerland, and led the organization for 23 years.
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