Documentation - Study guides, Class notes & Summaries

Nursing Documentation & Informatics Questions and Answers Already Passed Which of the following best describes an electronic health record (EHR)? A) A paper-based system for recording patient information B) A digital system used to store, manage, and retrieve patient health information C) A manual record-keeping method used for billing purposes D) A system used only for scheduling patient appointments B) A digital system used to store, manage, and retrieve patient health information ...

NUR 100 Chapter 26 Documentation Student Questions With Complete Solutions

Practice Quiz: Clinical Documentation Improvement (Answered) 2023

Exam 2: NSG121 / NSG 121 (Latest 2024 / 2025 Update) Health Assessment | Review with Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: Clean-contaminated wound Answer: Are those that are made under sterile conditions, like surgical incisions Q: A bowel resection Answer: is a surgical removal of a portion of the small or large intestine, is an example of a clean-contaminated wound. Q: What does the nurse do during burn classification Answer: The nurse attempts to blanch the bur...

Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation Latest Update 2022

The Nursing Process and Documentation Questions and Answers Already Passed What should a nurse document when observing a new wound on a patient? Describe the wound’s size, location, appearance, and any signs of infection, and note when the wound was first observed. How does documenting a patient’s nutritional intake contribute to their care? It provides insights into the patient’s dietary needs, helps monitor changes in weight or health status, and guides adjustments to t...

WGU D220 Objective Assessment V2 (Latest 2023/ 2024 Update) Information Technology in Nursing Practice | Questions and Verified Answers| 100% Correct| Grade A Q: In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) Answer: Involve staff in the implementa...

Exam 1: NSG121/ NSG 121 (NEW 2024/ 2025 Update) Health Assessment | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing QUESTION When percussing a client and you hear a dull sound , where might you be ? Answer: Over an organ (heart, liver, spleen) QUESTION If you hear a flat sound where might you be? Answer: Over muscles, bone, or tumor QUESTION If you hear a tympany sound where might you be? Answer: Over air pockets (sto...

Documentation – Nursing Questions and Answers 100% Verified How often should nursing documentation be updated during a patient’s shift? Nursing documentation should be updated as frequently as necessary to reflect the patient’s current condition, typically after any significant changes, interventions, or assessments. Why is it important to document patient education? Documenting patient education ensures that the information provided to the patient is recorded, showing that ...

Principles of Nursing Documentation 2023 BSN RN LPN