1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - kThe medication administration
... [Show More] record and the nursing assessment notes from the last shift indicate the patient's level of comfort.
k1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - kPhysician orders
k1. 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? - kImportance of completing the medication prescribed.
k1. 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? - kThe radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.
k1. 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? - kPatient demographic records
k1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - kGraphical trending
k1. 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? - kNursing flowsheet and intake and output record
k1. 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? - kLaboratory records
k1. Which patients are ideally positioned to fully engage in their care? - kPatients that are recovering well after a full night of sleep.
k1. 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? - kAn elderly person
k1. What is true about improving health literacy? - kImproving health literacy leads to better patient outcomes.
k1. 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? - kIdentify and define the goal of the technology.
k1. 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? - kList credible education resources for the patient's research.
k1. What does the informatics nurse recommend to increase attendance to follow-up appointments? - kAutomated text or email reminders
k1. 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? - kPharmacy cannot determine if there is a problem with a medication batch.
k1. 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? - kDuplicate documentation appears multiple times in the chart.
k1. 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? - kElectronic checklist
k1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - kFinancial
k1. 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? - kA large stand-alone department should go live first.
k1. 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? - kElectronic health record (EHR)
k1. 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? - kLaboratory information systems (LIS) [Show Less]