Episodic soap note Study guides, Class notes & Summaries

Patient Information: AP, 49, Male, Caucasian S. CC “My stomach hurts badly and I keep going to the bathroom.” HPI: Patient AP presented to the office with the complaint of generalized pain in the abdomen and diarrhea that started four days before his visit. He did not take any medications, is unsure how it would react with him and he typically avoids medication because he says, “I already take many.” Rates the pain at 6/10 today but it has been as bad as 10/10 when it was starting...

NURS 550 Midterm Exam Questions With Verified Answers Differential Diagnosis - answer• In deciding which disease to include in the differential, consider: - What's the most life-threatening disease the patient could have? - Could this be a common disease presenting with unusual features? - What diseases present with misleading symptoms? - What rare diseases could be causing these signs and symptoms? Develop a Complete, Framed Differential Diagnosis (Hypothesis) - answer• Not all diag...

SOAP Notes Final Exam Questions 2024. What is a SOAP note - ANSWER A SOAP note is a documentation method employed by health care providers to create a patient's chart. There are four parts of a SOAP note: 'Subjective, Objective, Assessment, and Plan. Subjective - ANSWER Describes the patient's current condition in narrative form. This section usually includes the patient's chief complaint, or reason why they came to the physician. Includes: Onset (when and mechanism of injury - if applic...

Questions 1.
ID: 3
A nurse performing a physical assessment of a client gathers both subjective and objective data. Which finding would the nurse document as subjective data? 
 A The client appears anxious. B Blood pressure is 170/80 mm Hg. C The client states that he has a rash. Correct D The client has diminished reflexes in the legs. 


Rationale: The purpose of a physical assessment is to collect both subjective and objective data. Subjective data, collected during the health his...

When writing a SOAP note, the nurse practitioner is aware that "A" represents - The diagnosis When reading a healthcare record you see the following notation: Patient states "I have had a runny nose and a cough for 1 week now" This is an example of: - Chief complaint Which of the following is an appropriate recording of the subjective information provided by a patient? - "grabbing" chest pain for 2 hours You receive results from the laboratory, a metabolic panel and a CBC. Where s...

"Shortness of Breath" BY Joseph Camella Shortness of Breath Institution Affiliation Date: Assignment 1 Episodic/Focused SOAP Note Template Patient Information: MH, 68, Male, White American S. CC: “Shortness of Breath” HPI: The patient is 68 year old WA male with a shortness in breath. The shortness of breath is described to be experienced all the time and worsens at night. The shortness of breath is accompanied by a cough that continues throughout eh night. The p...

PRAC 6552 Week 7 Assignment 2: FNP Students OB Episodic Visit: Focused Note(ACCURATE 2024 SPRING QTR) Episodic/Focused SOAP Note Template Week 5/Case Study D.M. is a 52-year-old African American, G2T1P0A1L1 female presenting to the clinic with complaints of abnormal bleeding and pelvic pressure. She works full-time as a receptionist for Gunn Honda. Medical history includes Grave disease, anemia, CAD, hypertension, obesity, and osteopenia. Surgical history includes D&C, tubal ligation, endometr...

NURS 6512: Advanced Health Assessment and Diagnostic Reasoning Week 5 Discussion Case #1 Episodic/Focused SOAP Note Template Patient Information: R.P., 50-year old Caucasian male S: CC: Itchy eyes, ears, nose, and palate x 5 days HPI: R.P. is a 50-year old Caucasian male that presents to the clinic with a complaint of rhinorrhea, sneezing, nasal congestion and postnasal drip with itchy eyes, ears, nose, and palate for the past 5 days. The patient reports facial pressure around his eyes ...

Advanced Health Assessment Quizzes 1-4 Rated A When writing a SOAP note, the nurse practitioner is aware that "A" represents The diagnosis When reading a healthcare record you see the following notation: Patient states "I have had a runny nose and a cough for 1 week now" This is an example of: Chief complaint Which of the following is an appropriate recording of the subjective information provided by a patient? "grabbing" chest pain for 2 hours You receive results from the labo...

NURS 550 Midterm Exam Questions With Verified Answers Differential Diagnosis - answer• In deciding which disease to include in the differential, consider: - What's the most life-threatening disease the patient could have? - Could this be a common disease presenting with unusual features? - What diseases present with misleading symptoms? - What rare diseases could be causing these signs and symptoms? Develop a Complete, Framed Differential Diagnosis (Hypothesis) - answer• Not all diag...