A nurse is using the focus charting method to document the progress notes of a client who has anxiety.

The nurse needs to write an evaluation entry in the focus charting method.

Which of the following is an example of an evaluation entry in the focus charting method?

Instructed the client on how to use a glucometer at home.

This is an example of an intervention entry in the SOAPIER format, which stands for subjective, objective, assessment, plan, intervention, and evaluation.An intervention entry describes any actions that were taken to support the patient based on the assessment and plan.

In this case, the nurse provided patient education on how to monitor blood glucose levels at home using a glucometer.

Choice A is wrong because it is an example of a subjective entry, which includes anything related to what the patient has told the nurse.This should be recorded exactly as the patient reports and in quotation marks.

Choice B is wrong because it is an example of an objective entry, which consists of any measurable observations that the nurse makes during the patient assessment.This includes vital signs, laboratory results, physical findings, and other data that can be verified.

Choice D is wrong because it is an example of an assessment entry, which is the nurse’s interpretation of the subjective and objective information and conclusions regarding the patient’s condition.This may include nursing diagnoses, problem statements, or clinical impressions.

Choice E is wrong because it is an example of an evaluation entry, which describes the result of any interventions and whether they achieved the desired outcomes.This may include patient feedback, changes in condition, or need for further action.

Normal ranges for blood glucose levels vary depending on the type of test and the time of day.Generally, a normal fasting blood glucose level is between 70 and 100 mg/dL, while a normal postprandial (after meal) blood glucose level is less than 140 mg/dL.A blood glucose level of 250 mg/dL before lunch indicates hyperglycemia (high blood sugar), which is a common complication of diabetes mellitus.

Observed facial grimace and guarding of the abdomen.

This is an example of a data entry in the DAR format because it describes the objective and subjective information that the nurse collected from the client.Data entries can include vital signs, physical assessment findings, laboratory results, and client statements.

Choice A is wrong because it is an example of an action entry in the DAR format.Action entries describe the nursing interventions that the nurse performed to address the client’s problem or need.

For example, administering medication, providing education, or applying a dressing.

Choice B is wrong because it is an example of a response entry in the DAR format.Response entries describe the client’s reaction or outcome to the nursing interventions.

For example, reporting pain relief, expressing satisfaction, or showing improvement.

Choice D is wrong because it is also an example of an action entry in the DAR format.

It describes another nursing intervention that the nurse performed to help the client cope with pain.

The DAR format is a type of focus charting that helps nurses document problems identified in the client care plan.

It stands for data, action, and response.Some nurses may use the F-DAR format, which adds a focus component to provide a clearer context and prioritization of the client’s needs.The focus can be a nursing diagnosis, a change in condition, a symptom, or an event.