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The Patient's Medical Record Contains the Following Documentation: 06/05/17 0200

Question 5

Multiple Choice

The patient's medical record contains the following documentation: 06/05/17 0200 Received patient from the E.D.BP 80/52,HR 118,RR 24,temp 104°F.Arouses to verbal stimuli but drifts off to sleep.Normal saline infusing in left arm via 18-gauge IV catheter at 250 mL/hr.Urinary catheter draining scant dark amber urine.Pt receiving O2 at 6 L/min via nasal cannula.Lungs with coarse crackles at the left base.Loose cough present.Pt unable to expectorate secretions.-Ann Davids,RN
Which type of charting has the nurse used?


A) Narrative
B) Focus
C) SOAP
D) PIE

Correct Answer:

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