Advanced Health Assessment Exam with Correct Solutions

Advanced Health Assessment Exam with Correct Solutions What is the name of the format commonly used to organize data obtained during the history and physical examination? - Answer -Problem-Oriented Medical Record What are the components of a SOAP note? - Answer -S = subjective O = objective A = assessment P = plan In which section of a SOAP note does the following information belong: Patient's heart rate is 72 - Answer -Objective In which section of a SOAP note does the following information belong: Patient's pain is not well controlled - Answer -Subjective In which section of a SOAP note does the following information belong: Put patient on heparin for DVT prophylaxis - Answer -Plan In which section of a SOAP note does the following information belong: Patient didn't sleep well last night - Answer -Subjective In which section of a SOAP note does the following information belong: Patient's breath sounds are clear - Answer -Objective What is an example of a well formatted assessment/plan for a patient who come to your office with high cholesterol and a UTI? - Answer -1. Hyperlipidemia- On 7/8/18 total cholesterol 275 - Continue on atorvastatin 10 mg PO QD - Counsel on healthy diet and exercise - Recheck lipid panel in 3 months 2. Uncomplicated cystitis - Today urine analysis positive for ketones, nitrites, and leukocyte esterase - Pt experiencing burning with urination x2days - Start on ciproflaxacin 250 mg PO Q12H x 3 days - Follow up in 1 week In which section of a SOAP note does the follow