The nurse manager is reviewing SOAP entries in the medical record for a novice nurse. Which entry indicates that the nurse needs further instruction concerning documentation?

Question

Quizplus · Accepted Answer

B) is incorrect because it is labeled as an "O" (Objective) entry, but it actually describes subjective information (the client's report of feeling fatigued). Objective data should be observable and measurable by the nurse, such as vital signs or physical examination findings.

The Nurse Manager Is Reviewing SOAP Entries in the Medical