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In a chart for a patient who has had an allergic reaction to a drug and an associated nursing ...

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In a chart for a patient who has had an allergic reaction to a drug and an associated nursing ...

In a chart for a patient who has had an allergic reaction to a drug and an associated nursing diagnosis of Skin integrity, impaired, related to allergic reaction as evidenced by rash and hives, the nurse charts “Subjective: denies itching. Happy with improvement in skin. Objective: rash fading on face, chest, and back; no hives visible on skin. Skin warm, dry, and intact. Assessment: skin integrity improving. Plan: check rash daily until discharge.” This type of charting is an example of:
a.   charting by exception.
b.   narrative style.
c.   a problem-oriented medical record (POMR).
d.   the case management system.

Textbook

Fundamental Concepts and Skills for Nursing

Edition: 4^th

Authors: deWit, Williams

Read 99 times

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