Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - ANSThe medication administration record and the nursing
assessment notes from the last shift indicate the patient's level of comfort.
Which information in a patient's medical record will help a nurse plan and manage the patient's
pain? - ANSPhysician orders
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? -
ANSImportance of completing the medication prescribed
A mother brings her child to the emergency department after noticing the child had trouble
breathing, refused breastfeeding, and no urine in the diaper within the last eight hours. The
provider suspects respiratory syncytial virus and admits the infant to the hospital. How will data
in the medical record inform the decision to select appropriate infection-control precautions? -
ANSThe data will identify the pathogen causing the patient's symptoms
A nurse admits an infant with a severe hacking cough, vomiting, and a fever for the past two
weeks. Which data in the electronic medical record (EMR) informs the decision to implement
infection-control precautions? - ANSThe nasopharyngeal swab culture results indicate the
patient is positive for Bordetella pertussis.
A patient is admitted to the hospital with a painful rash on the left side of the face. The provider
orders the patient to be placed on contact precautions. Which data in the electronic health
record (EHR) informed the decision to implement contact precautions? - ANSThe skin culture
results indicate the presence of the varicella-zoster virus.
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? - ANSThe radiology report impression indicates
pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.
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
medical record will provide a cross-reference to the impacted patient population? - ANSPatient
demographic records
Which view in the electronic medical record (EMR) confirms a patient's blood pressure is
stabilizing? - ANSGraphical trending
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