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Author Question: The nurse educator is presenting information about the APIE method of charting as it will be ... (Read 30 times)

ashley

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The nurse educator is presenting information about the APIE method of charting as it will be implemented by the facility in a few weeks. Which statements by the participants indicate an appropriate understanding of this method of charting?
 
  Select all that apply.
  1. I will only need to chart by exception with this method.
  2. Only subjective data are included in the assessment portion.
  3. The 'P' refers to the chief problem of the client.
  4. The activities implemented to manage the client's needs will be documented in the 'I' section.
  5. The 'E' refers to the evaluation that occurs after an intervention is implemented.

Question 2

The nurse is preparing the care plan for a client who admitted to the unit after an abdominal hysterectomy to manage endometriosis. Which goal statements reflect the need for further development by the nurse?
 
  Select all that apply.
  1. The nurse will assess the vital signs every 2 hours.
  2. The client will walk Q2h on the first postoperative day.
  3. The client will report feeling better.
  4. The client will begin a clear liquid diet on the first postoperative day.
  5. The healthcare provider will prescribe oral analgesics on the first postoperative day.



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briezy

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Answer to Question 1

Correct Answer: 2, 3, 4, 5

The APIE method of charting involves charting that is problem based. Information documented is only those items that are not within normal limits. The APIE method of charting uses the letters to refer to the assessment, problem, intervention, and evaluation. The assessment includes both the objective and subjective data. The P refers to the chief problem. I includes the interventions implemented to manage the client. E stands for evaluation of the response to the plan of care.

Answer to Question 2

Correct Answer: 1, 3, 5

Goal statements are used to provide planned outcomes for the client. Goal statements must be measurable and are reflective of client activities. The only statement reflecting these criteria is that the client will walk Q2h on the first postoperative day. Statements reflecting actions of the nurse or healthcare provider are not goal statements. Vague statements such as feeling better are not measurable. The statement that the client will begin a clear liquid diet on the first postoperative day contains the needed elements for a successful goal statement.




briezy

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