The nurse would recognize which acronym as representing problem-oriented charting?
SOAPIE
ODAR
OPIE
SOAP
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. HCO3 above 26 mEq/L: This would indicate metabolic alkalosis, not metabolic acidosis.
B. pH below 7.35: Metabolic acidosis is characterized by a low pH (<7.35) due to excess acid accumulation or bicarbonate loss.
C. PaCO2 above 45 mm Hg: PaCO2 above 45 mm Hg is seen in respiratory acidosis, not metabolic acidosis.
D. PaO2 below 70 mm Hg: A low PaO2 indicates hypoxemia, which can occur alongside acidosis but is not a defining feature of metabolic acidosis.
Correct Answer is A
Explanation
A. "I will use this device 20 times per hour while I am awake each day.": Correct. This statement requires correction. While frequent use is recommended, 10 times per hour is typically sufficient. Overuse may cause hyperventilation or dizziness.
B. "I should be in a sitting position when using this device.": Correct. A sitting or semi-Fowler’s position promotes lung expansion and is the proper position for using an incentive spirometer.
C. "I will hold my breath for 3 seconds after I feel like I cannot inhale any more breath.": Correct. Holding the breath allows for alveolar expansion and better lung recruitment.
D. "I will exhale completely before placing my lips around the mouthpiece.": Correct. Exhaling fully ensures that the next inhalation is deep and effective.
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