Question

A nurse is using focused charting. Match the chart entry to the correct letter of the acronym.

a.Applied oxygen, stayed with patient, and instructed to slow breathing.
b.Patient states, "feel better," respirations 16 with O2 saturations 96%.
c.Patient states, "can't catch my breath and chest hurts." Confused.

1.D
2.A
3.R

Answer 1

Focused charting in nursing involves using the 'DAR' acronym to structure notes, with 'D' for Data, 'A' for Action, and 'R' for Response. Chart entry c matches D, entry a matches A, and entry b matches R.

Step-by-step explanation:

Focused charting in nursing uses the DAR acronym, which stands for Data, Action, and Response. Each of the given chart entries should be matched to the corresponding letter of the acronym based on the content of the note.

1. D - Data: This part of the chart includes observations about the patient's condition, such as signs and symptoms or subjective statements from the patient. For example, 'c.Patient states, "can't catch my breath and chest hurts." Confused.' matches with D (1).
2. A - Action: This portion records the interventions or actions taken by the nurse or healthcare provider. The entry 'a.Applied oxygen, stayed with patient, and instructed to slow breathing.' is an Action, matched with A (2).
3. R - Response: This section documents the patient's response to the interventions and treatments. The entry 'b.Patient states, "feel better," respirations 16 with O2 saturations 96%.' reflects the patient's response and thus matches with R (3).

By organizing chart entries this way, it ensures clarity in the patient's record and helps to communicate the progression of care effectively.