A nurse records the following: "Patient is wheezing and experiencing some dyspnea on exertion." This represents which of the following?
A)The "S" in SOAP documentation.
B)Focus documentation.
C)The "P" of PIE documentation.
D)The "R" in DAR documentation.

Question

Quizplus · Accepted Answer

The statement is an example of the "P" of PIE documentation because it describes the patient's problem.The "S" in SOAP documentation represents subjective data (verbalizations of the patient).Focus charting does not concentrate on problems only.The "R" in DAR documentation is the response of the patient.This situation describes the patient's problem,not the patient's response.

A Nurse Records the Following: "Patient Is Wheezing and Experiencing