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Pyridoxine is ordered for a client. The nurse understands that which of the following will be given?
Patient Chart
A comprehensive record maintained by a healthcare provider detailing the history, diagnosis, treatment, and medical care of a patient.
SOMR
Source-oriented medical record.
POMR
The problem-oriented medical record system is for keeping patients' charts. Information in a POMR includes the database of information about the patient and the patient's condition, the problem list, the diagnostic and treatment plan, and progress notes.
SOAP Records
An acronym that stands for Subjective, Objective, Assessment, and Plan, which outlines a method of documentation used by healthcare professionals to record patient information.
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