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The nurse is documenting information about the client using Problem-Oriented Charting and the ...

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The nurse is documenting information about the client using Problem-Oriented Charting and the ...

The nurse is documenting information about the client using Problem-Oriented Charting and the acronym SOAP. Rank the following pieces of information in the order that they should be documented.

1. The client’s skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90% on room air. The client was diagnosed with COPD in 1993.
2. The nurse will apply oxygen at two liters per minute per healthcare provider’s orders, when the client’s oxygen saturation level is below 92%.
3. The client states, “I am so tired all of the time. I feel like I’m not getting enough air into my lungs.”
4. The client is most likely experiencing an exacerbation of a chronic lung disease.

Textbook

Health & Physical Assessment In Nursing

Edition: 3^rd

Authors: D'Amico, Barbarito

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