Author Question: What is a SOAP note? a. Record of supplies used in patient hygiene b. Record of an event during ... (Read 87 times)

SAVANNAHHOOPER23

  • Hero Member
  • *****
  • Posts: 542
What is a SOAP note?
 
  a. Record of supplies used in patient hygiene
  b. Record of an event during a patient's stay, formatted according to the Simple Object Access Protocol (SOAP), enabling it to be easily transmitted between computers
  c. Form of bar code
  d. Record of patient data listing the patient's subjective complaint, objective data rec-orded by the nurse, the nurse's assessment of the situation, and the nurse's plan of action

Question 2

A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA). During the assessment, the patient begins to complain of a severe headache and numbness in his left arm.
 
  Which action should the nurse take next? a. Instruct the patient to take Tylenol.
  b. Ask whether patient suffers from migraine headaches.
  c. Reschedule the visit.
  d. Call 9-1-1



taylorsonier

  • Sr. Member
  • ****
  • Posts: 377
Answer to Question 1

D
SOAP stands for subjective (patient complaint), objective (observed data), assessment, and plan. A SOAP note is a record of an event in which a patient makes a subjective complaint and the nurse observes objective data, makes an assessment on the basis of the complaint and the data, and makes a plan for interventions based on the assessment. A SOAP note is a record in human language describing a problem, its assessment, and planned interventions.

Answer to Question 2

D
The home health nurse should immediately call 9-1-1 . Approximately 24 to 29 of those who have a TIA will have a stroke within 5 years after the event (Goldstein, 2011). Tylenol would not be advised. The nurse should not leave the patient until the patient is en route to the emergency department.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

Anti-aging claims should not ever be believed. There is no supplement, medication, or any other substance that has been proven to slow or stop the aging process.

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

For a complete list of videos, visit our video library