Complete Solutions 2025-2026
Updated.
Informatics - Answer the property and structure of information or data.
Electronic Health Record (EHR) - Answer Longitudinal (rather than episode oriented)
Automates and streamlines care provider's workflow
Can offer
evidence-based decision support
quality management
outcomes reporting
incorporation of nursing standards and regulatory requirements into electronic forms
Health Insurance Portability and Accountability Act (HIPAA) - Answer specific guidelines for
communication of patients' personal health info.
Under HIPAA:
patients have access to their medical records (print and EHR)
providers must obtain consent from the patient before information is released for health-
related purposes.
HIPAA also addresses the security and privacy of health data.
Guidelines for Quality
Documentation and Reporting - Answer Factual
Accurate
Complete
Current
Organized
Documenting the Four Ps of Care - Answer pain
position
possessions
potty
, Problem-oriented medical record (POMR) - Answer organized using the nursing process by
problem or
diagnosis
Charting by exception (CBE) - Answer emphasizes recording abnormal findings
HAIs (infections) - Answer Formerly called nosocomial infections
Localized or systemic infections that were not present during admission to the facility
Account for an estimated 2 million infections, 99,000 deaths, and a direct medical cost to
hospitals in excess of $33 billion annually (!!)
Are present in 1 out of every 20 hospitalized patients
Special Tuberculosis Precautions - Answer Isolation for patients with suspected or confirmed
TB includes placing the patient on airborne infection precautions in a single patient airborne
infection isolation room with negative pressure.
CDC guidelines require health care workers who care for suspected or confirmed TB patients to
wear special respirators (N95 or P100).
The door should remain closed at all times in a negative pressure isolation room.
The nurse should complete education to the patient and family on how TB is transmitted and
how to prevent infection of others.
metabolic (Systemic Effects) - Answer endocrine, calcium absorption, and gastrointestinal
function
respiratory (Systemic Effects) - Answer atelectasis and hypostatic pneumonia
cardiovascular (Systemic Effects) - Answer orthostatic hypotension thrombus
musculoskeletal (Systemic Effects) - Answer loss of endurance and muscle mass, and
decreased stability and balance
muscle effects (Systemic Effects) - Answer loss of muscle mass, muscle atrophy
skeletal effects (Systemic Effects) - Answer impaired calcium absorption, joint abnormalities
urinary elimination (Systemic Effects) - Answer urinary stasis, renal calculi