WGU C810 Focused on Chapter 4 Foundational Problem-solving Exam Questions with Approved Answers 2024/2025
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Course
WGU C810
Institution
WGU C810
WGU C810 Focused on Chapter 4 Foundational Problem-solving Exam Questions with Approved Answers 2024/2025
What are the components of the physical in an H&P? - correct answer -General condition -vital signs -skin -head -eyes -ears -nose and sinuses -mouth -throat -neck -thorax, anterior -breasts ...
WGU C810 Focused on Chapter 4 Foundational Problem-
solving Exam Questions with Approved Answers 2024/2025
What are the components of the physical in an H&P? - correct answer -General
condition -vital signs -skin -head -eyes -ears -nose and sinuses -mouth -throat -
neck -thorax, anterior -breasts -lungs -heart -abdomen -male genitourinary -
female reproductive -rectum -musculoskeletal -lymphatics -blood vessels -
neurological systems -diagnosis
Who can issue a discharge order for hospital patients? - correct answer only by
the physician
Progress notes - correct answer Notes used in the patient chart to track the
progress and condition of the patient.
Consultation notes - correct answer Opinions of physicians with specialty training
beyond generally board certification such as oncologists, cardiologists, or
dermatologists.
What method is most commonly used by nurses to enter notes? - correct answer
Detailed narrative documentaion
Charting by exception - correct answer a method of documenting only abnormal
or unusual findings or deviations from the prescribed plan of care. aka focus
charting
, Medication Administration Record (MAR) - correct answer A record that is
maintained by nursing staff for all patients and includes medications given, time,
form of administration, and dosage and strength
Discharge Summary - correct answer Comprehensive outline of patient's entire
hospital stay; includes condition at time of admission, admitting diagnosis, test
results, treatments and patient's response, final diagnosis, and follow-up plans
Emergency Medical Treatment and Labor Act (EMTALA) - correct answer This act
is used to prevent inappropriate transfers and "patient dumping" for indigent
patients.
Source-oriented health record - correct answer A system of health record
organization in which information is arranged according to the patient care
department that provided the care
Problem-oriented health record (POMR) - correct answer Comprised of the
problem list, the database (the H&P examination and initial lab findings), the
initial plan (tests, procedures, and other treatments), and progress notes
organized so that every member of the healthcare team can easily follow the
course of patient treatment
Integrated health record - correct answer A system of health record organization
in which all the paper forms are arranged in strict chronological order and mixed
with forms created by different departments
Digital dictation - correct answer process by which voice sounds are recorded and
converted into digital format
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