Soap notes Study guides, Class notes & Summaries

2023 Tx Plan Toddler Sick Visit Gastrointestinal. Update Zachary Lafontaine 30 months old. 2023 2023 Tx Plan Toddler Sick Visit Gastrointestinal. Update Zachary Lafontaine 30 months old. 2023 FOCUSED SOAP NOTE #3 3 SOAP Note Pediatric & Adolescent Medicine Identifying Data: • Date of Visit: June 4, 2019 • Patient Name: T.M. • Age: 2 years and 4 months • Sex: Male • Ethnicity: African American • Date of Birth: 2/02/2017 • Visit Type: New Patient SUBJECTIVE DATA: TM...

HESI Exit Exam Test Bank 2024 NEWEST 2024 ACTUAL EXAM 500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The nurse is ready to insert an indwelling urinary catheter as seen in the picture. At this point in the procedure, what actions should the nurse take before inserting the catheter? (Select all that apply) A. Ask the client to bear down as if voiding to relax the sphincter C. Complete perianal care with soap and water D. Gently palpate the clien...

NURS 5220-Module 3 SOAP note Form-1-latest-2023-2024

Episodic SOAP Note: Tom Walker DOS: 10/14/18 ID: Tom Walker (M) DOB: 1/3/75 (45) CC: Atopic Dermatitis (eczema) Right Knee Injury Subjective HPI: Mr. Tom Walker is a 45-year old is a Caucasian male who appears well groomed and a reliable historian. He presents today with itching has been so bad that it is keeping him awake at night, and his skin has little cracks that bleed. He has been using OCT hydrocortisone cream for flares. His eczema flare in the bend of his arms is (9/10). He loves t...

Assume that you have completed a treatment session with your patient, Katie Wild, and now you need to document this treatment session in her chart, using the SOAP note format. Refer to your readings and presentations to make sure you clearly understand what information goes into each section. Katie Wild is a 73-year-old recovering from a total hip replacement. Katie demonstrates decreased lower extremity strength and endurance. She is unable to independently maintain her balance while standin...

WOMEN’S HEALTH MINI SOAP NOTES A 25-year-old woman comes to the clinic complaining of increased vaginal discharge, milky gray in color with a "fishy" odor that both she and her husband have noticed. A wet smear is performed and the presence of "clue cells" confirmed. Which type of infection does the nurse suspect? 1 Candidiasis 2 Trichomoniasis 3 Bacterial vaginosis 4 Group B Streptococcus - ANS -Bacterial vaginosis Signs of bacterial vaginosis include a milky gray vaginal...

WOMEN’S HEALTH MINI SOAP NOTES ICD 10: N39.0 S: Burning and pain with urination for 3 three days. Stated that her urine looks cloudy and has a foul odor. Denies fever, nausea, vomiting, myalgia, flank pain, blood in urine, any vaginal discharge, and, vaginal/vulvar irritation. She is sexually active, has same partner for last 4 years. G1P1001, with normal vaginal delivery. Menarche age 11. Last menses one week ago; regular 4- 5 days. Tested for STD one year ago. Negative for Chlamydia and Gono...

SOAP Notes Exam Questions 2024. SOAP - ANSWER Subjective Objective Assessment (diagnosis) Plan PPALM - ANSWER Purpose of session Pain and discomfort Allergies and skin conditions Lifestyle and vocation Medical and health information Abd; ABD - ANSWER abduction Add; ADD - ANSWER adduction p; post - ANSWER after ANT - ANSWER anterior ~ - ANSWER approximately ASAP - ANSWER as soon as possible PRN - ANSWER as needed @ - ANSWER at hs - ANSWER at bedtime a; pre...

WOMEN’S HEALTH MINI SOAP NOTES ICD 10: N39.0 S: Burning and pain with urination for 3 three days. Stated that her urine looks cloudy and has a foul odor. Denies fever, nausea, vomiting, myalgia, flank pain, blood in urine, any vaginal discharge, and, vaginal/vulvar irritation. She is sexually active, has same partner for last 4 years. G1P1001, with normal vaginal delivery. Menarche age 11. Last menses one week ago; regular 4- 5 days. Tested for STD one year ago. Negative for Chlamydia and Go...

The brain and spinal cord are included in which of the following? - Central nervous sytsem The cranial nerves 31 pairs of spinal nerves, and branches make up which of the following? - Peripheral nervous system A rotational sensation of spinning is considered to be which of the following? - Vertigo A sensation of numbness and or tingling of the extremities is referred to as which of the following? - Paresthesia Lightly touching the cornea with a cotton ball would be examining which ...

ATI MED SURG FORM A EXAM LATEST QUESTIONS AND CORRECT ANSWERS GRADE A 1. A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? a. Bradycardia b. Flushed skin c. Frothy sputum – d. Jugular vein distention 2. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all the apply.) a. Monitor the ...