Author Question: A nurse records the following at 1800: patient states that the abdominal pain is worse now than last ... (Read 62 times)

EY67 · **on:** Jul 22, 2018

A nurse records the following at 1800: patient states that the abdominal pain is worse now than last nightBetty Smith, RN. The nurse is using which type of charting?

a. PIE documentation
b. SOAP documentation
c. Narrative charting
d. Charting by exception

Question 2

The patient is taking furosemide (Lasix) and has been complaining of muscle weakness. The nurse should be most concerned about which imbalance?

a. Hyponatremia
b. Hypokalemia
c. Hypochloremia
d. Hyperchloremia

mochi09 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Narrative charting uses a storylike format to document information specific to patient conditions and nursing care. PIE charting focuses on problem, intervention, and evaluation. SOAP documentation addresses subjective data, objective data, assessment, and the plan. Charting by exception reduces the time required to complete documentation, using a flow sheet to indicate normal findings or routine interventions.

Answer to Question 2

B
Hypokalemia causes muscle weakness and if severe, cardiac dysrhythmias. Sodium concentration imbalances really are water imbalances. With hyponatremia, water enters cells by osmosis, causing them to swell. Signs of cerebral dysfunction occur when brain cells swell. Hypochloremia always occurs with other imbalances and has no unique signs and symptoms. Hyperchloremia is abnormally high blood chloride level, which occurs with some types of acidosis, some renal conditions, and other electrolyte imbalances. It also has no unique signs and symptoms.