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 reports chest pain after mowing lawn this morning.

Client's blood pressure is 182/98 mm Hg.

Client administered nitroglycerin 0.3 mg SL for chest pain.

Client's skin is pale and diaphoretic.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is D

Explanation

Choice D rationale:

Protecting a client's safety by not causing harm refers to the ethical principle of nonmaleficence. Nonmaleficence emphasizes the duty of healthcare professionals to avoid harm or minimize harm when providing care to clients. This principle is closely related to the concept of "do no harm" and places a high value on the well-being and safety of the client. Nurses must make decisions and take actions that prioritize the client's safety and well-being, even when faced with difficult ethical dilemmas.

Choice A rationale:

Beneficence is the ethical principle that emphasizes doing good and promoting the well-being of the client. While it is an essential ethical principle in nursing, it is not directly related to the concept of not causing harm, as described in the question.

Choice B rationale:

Fidelity, also known as faithfulness or loyalty, pertains to the nurse's obligation to uphold commitments and keep promises made to the client. While fidelity is crucial in nursing practice, it is not the primary principle related to the concept of not causing harm.

Choice C rationale:

Justice is the ethical principle concerned with fairness and the equitable distribution of healthcare resources and treatment. It focuses on providing clients with their due and ensuring that they are treated fairly and without discrimination. Justice is important in healthcare ethics but is not directly associated with the principle of not causing harm.

A. 0.3 mL. B. 0.25 mL. C. 0.4 mL. D. 0.15 mL.

Correct Answer is B

Explanation

Step 1: Identify the amount of lidocaine required, which is50 mg.

Step 2: Identify the concentration of available lidocaine, which is200 mg/mL.

Step 3: Calculate the volume of lidocaine to be administered using the formula:

Volume (mL) = Amount (mg) ÷ Concentration (mg/mL)

So, the calculation is:

Volume (mL) = 50 mg ÷ 200 mg/mL = 0.25 mL

Therefore, the nurse should administer0.25 mLof lidocaine per dose. This is the final answer and it is rounded off to the nearest hundredth as required.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on ethical principles.The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

Correct Answer is D

Explanation

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? rounded off to the nearest hundredth

Correct Answer is B

Explanation

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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?