The nurse would recognize which acronym as representing problem-oriented charting?

SOAPIE

ODAR

OPIE

SOAP

Answer and Explanation

The Correct Answer is D

A. SOAPIE. This format expands on SOAP (adding Intervention and Evaluation), but SOAP is the core problem-oriented format.

B. ODAR. This is not a recognized problem-oriented charting method.

C. OPIE. This is not a standard documentation method.

D. SOAP. SOAP stands for Subjective, Objective, Assessment, and Plan, and is a commonly used method in problem-oriented medical records.

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Correct Answer is C

Explanation

A. Administer oxygen at 2 L/min.: Oxygen is necessary, but raising the head of the bed first can improve oxygenation more effectively and quickly.

B. Encourage coughing and deep breathing.: While effective, this should be done after positioning the patient appropriately to optimize oxygenation.

C. Raise the head of the bed.: The priority intervention for low oxygen saturation is to improve ventilation and perfusion by raising the head of the bed. This enhances lung expansion, making it easier for the patient to breathe.

D. Administer prescribed analgesic medication.: Pain management is important, but it is not the priority when oxygen levels are dangerously low.

A. Discharge teaching B. Recovery from anesthesia C. Urinary catheterization if no voiding D. Vital signs every 15 to 30 minutes

Correct Answer is A

Explanation

A. Discharge teaching: Phase III of post-anesthesia care focuses on preparing the patient for discharge, including teaching about post-operative care, medication instructions, and follow-up care.

B. Recovery from anesthesia: This occurs in Phase I, where patients are closely monitored as they emerge from anesthesia and regain protective reflexes.

C. Urinary catheterization if no voiding: This may be considered in Phase II, especially if urinary retention is present, but is not a defining activity of Phase III.

D. Vital signs every 15 to 30 minutes: Frequent monitoring of vital signs is a key part of Phase I, when patients are at the highest risk for complications.

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The nurse would recognize which acronym as representing problem-oriented charting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

Which nursing action is completed during phase III of post anesthesia care?

Correct Answer is A

Explanation

Which action is the priority when providing care to a patient in the preoperative period?

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Which is the priority initial assessment for a patient who is admitted to the post anesthesia care unit (PACU) after surgery with general anesthesia?

Which of the following is an example of a nursing diagnosis?

During the time-out for a surgical procedure, who is responsible for marking the surgical site?

A nurse is caring for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. The nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?

Which symptoms would the nurse expect to assess in a client experiencing serotonin syndrome?

Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?