Asked by Kimberly Castro on Sep 28, 2024
Verified
A
A) Applied oxygen, stayed with patient, and instructed to slow breathing.
B) Patient states, "feel better," respirations 16 with O2 saturations 96%.
C) Patient states, "can't catch my breath and chest hurts." Confused.
Focused Charting
A documentation system used in nursing that centers on patient concerns and strengths, progress, and response to care.
Acronym
A shortened form of a phrase or series of words, where each letter in the acronym stands for one of the words in the phrase.
Respirations
The process of inhaling and exhaling air to facilitate gas exchange between the body and the environment.
- Apply focused charting techniques effectively to enhance patient care documentation.
Verified Answer
BT
Bruna Torres1 day ago
Final Answer :
A
Explanation :
The chart entry includes the acronym "ASI," which stands for Applied, Stayed, Instructed. This indicates that the nurse applied oxygen, stayed with the patient, and instructed them to slow their breathing.
Answer: B
The chart entry includes the acronym "SOAP," which stands for Subjective, Objective, Assessment, Plan. This indicates that the patient stated they feel better subjectively, and the nurse recorded objective data such as respirations and oxygen saturation.
Answer: C
The chart entry does not include an acronym, as none of the commonly used acronyms apply to the information provided. The nurse simply documented the patient's complaint of chest pain and difficulty breathing, along with confusion.
Answer: B
The chart entry includes the acronym "SOAP," which stands for Subjective, Objective, Assessment, Plan. This indicates that the patient stated they feel better subjectively, and the nurse recorded objective data such as respirations and oxygen saturation.
Answer: C
The chart entry does not include an acronym, as none of the commonly used acronyms apply to the information provided. The nurse simply documented the patient's complaint of chest pain and difficulty breathing, along with confusion.
Learning Objectives
- Apply focused charting techniques effectively to enhance patient care documentation.