1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - 4The medication administration
... [Show More] record and the nursing assessment notes from the last shift indicate the patient's level of comfort.
ded1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - 4Physician orders
ded1. A patient completes the course of treatment for tuberculosis and is ready to be discharged home. Which instructions should be included in the patient's discharge education? - 4Importance of completing the medication prescribed.
ded1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on auscultation. Which data set in the medical record informs the decision to implement the ineffective airway clearance nursing care plan? - 4The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.
ded1. The health administrator at a clinic observes an increase in the number of patients with a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will provide a cross-reference to the impacted patient population? - 4Patient demographic records
ded1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - 4Graphical trending
ded1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and persistent cough. Which data set in the medical record from the last shift informs the decision to implement the fluid volume overload care plan? - 4Nursing flowsheet and intake and output record
ded1. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive influenza tests at a facility within the past year? - 4Laboratory records
ded1. Which patients are ideally positioned to fully engage in their care? - 4Patients that are recovering well after a full night of sleep.
ded1. A nurse is teaching a patient-centered health education course at a hospital. As an informatics nurse leveraging technology to help improve patient understanding, which learner would be more likely to have a low health literacy and require more focus? - 4An elderly person
ded1. What is true about improving health literacy? - 4Improving health literacy leads to better patient outcomes.
ded1. A nurse assists with implementing a new remote patient monitoring (RPM) system for collecting patient data, which improves patient outcomes. Which task is a high priority for an informatics clinician when implementing a new technology for patient data collection? - 4Identify and define the goal of the technology.
ded1. Patient use of technology has increased dramatically. While patients are more active in their care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which recommendation should the nurse give to ensure education is accurate? - 4List credible education resources for the patient's research.
ded1. What does the informatics nurse recommend to increase attendance to follow-up appointments? - 4Automated text or email reminders
ded1. Pharmacy adds a field into the medication administration record to document the lot number when a chemo medication is administered but fails to communicate this to the nurse responsible for the medication administration documentation. What is a consequence of this action? - 4Pharmacy cannot determine if there is a problem with a medication batch.
ded1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it difficult to know where to document some items. As a result, the nurse uses the notes instead or in addition to documenting in a specific field in the health record. What is the least significant impact of this action? - 4Duplicate documentation appears multiple times in the chart.
ded1. A nurse is working in a medical-surgical unit assigned care for five patients. The nurse has many tasks to accomplish during a shift. Which informatics solution assists in ensuring these tasks are accomplished? - 4Electronic checklist
ded1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - 4Financial
ded1. A project team is moving a hospital from using paper charting to using an electronic health record for documentation. How should the project team roll out the software to reduce the impact on the hospital? - 4A large stand-alone department should go live first.
ded1. While reviewing electronic nursing documentation, a nurse identifies that a patient's vital signs have declined since the previous shift. Which health information system assisted in this identification? - 4Electronic health record (EHR)
ded1. The nurse manager of an outpatient laboratory clinic is investigating decreased patient satisfaction scores and cited delays in receiving lab results. The first step is to review testing turnaround times for the clinic. Which health information system (HIS) should the nurse manager review for this data? - 4Laboratory information systems (LIS)
ded1. What is a patient safety benefit of a pharmacy information system (PIS)? - 4Alerts regarding allergies and interactions
ded1. Standardized terminology was implemented to promote interoperability across electronic health records (EHRs). Which terminology is specific to laboratory tests, orders, and results? - 4LOINC
ded1. A nurse performing patient discharge from a facility provides a continuity of care document (CCD) to a patient and explains the document and contents at discharge. What is a benefit provided by the CCD? - 4It provides a summary of care to patients [Show Less]