Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?
The 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?
Physician 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?
Importance 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?
The 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?
The 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?
The 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?
The 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?
Patient demographic records
Which view in the electronic medical record (EMR) confirms a patient's blood
pressure is stabilizing?
Graphical trending
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?