Health Assessment HESI/330 Questions and Answers/A+ RatedSOAP modified format - Correct Answer -Subjective ObjectiveAssessment PlanWhat color ink should be used when documenting on paper - Correct Answer -Permanent black inkWhat is the correct order for vital signs - Correct Answer -T, P, RR, BP, extremity, pt position, SPO2What should be at the top of every page of documentation - Correct Answer -Patient initials and date and time of entryWhat should be at the end of every documentation entry - Correct Answer -Interviewers signatureHow do you correct a mistake in documentation - Correct Answer -1) Draw a single line through the incorrect documentation 2) Write error above the entry 3) Initial and date the crossed out entryDocumentation tips - Correct Answer -1) Avoid complete sentences2) Do not use A, an, the3) Do not put opinion in notes 4) Avoid use of normal or within normal limitsNormal oral temp range - Correct Answer -96.4 - 99.1 FFebrile - Correct Answer -With feverAfebrile - Correct Answer -Without feverHyperthermia symptoms - Correct Answer -1) Cessation of shivering 2) Bradycardia 3) Decrease in respiratory minute volumeMost common and easy method of assessing temperature - Correct Answer -OralWhat methods of assessing temperature reflects core temperature -