A nurse is preparing to document client care in the electronic medical record using the SOAP format. The client had abdominal surgery 2 days ago. How would the nurse document the “S” information? Client is requesting pain medications, is grimacing, and is diaphoretic. Client states, “I have more pain in my belly today than I did yesterday. My pain is about a 7 out of 10.” Abdomen soft, slightly tender on palpation. Incision clean, dry and intact. Positive bowel sounds all four quadrants. Client states expecting some pain, but it is more severe than anticipated.
[Verified Answer]: A nurse is preparing to document client…
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