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NURS 5355 FINAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS

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What is the proper technique for scrubbing? Scrub each side of each finger, between the fingers, and the back and front of the hand for two minutes. Proceed to scrub the arms, keeping the hand higher than the arm at all times. This prevents bacteria-laden soap and water from contaminating the hand. What are the indications to perform a lumbar puncture? Suspicion of meningitis or other CNS infections, susp. SAH in a pt with negative CT. Non-emergent -- to evaluate for syphilis, hydrocephalus, unexplained sz, and demyelinating dz. Identify the proper technique for gowning and gloving 1. Collect the equipment needed 2. Clean the trolley surface (wipe top to bottom) 3. Wash hands-- social handwash 4. Apply surgical mask 5. Lay the gown pack on the trolley and unwrap the outer layer to expose the contents of the pack. Take care not to touch the contents of the pack or the sterile inner surface. Do not lean over sterile area. 6. Standing away from sterile field, peel open glove packaging, keep inside sterile. Tip the inner packet onto sterile field. 7. ensure correct protective attire Identify the contraindications to performing an LP Absolute CI-- infection in the tissue near the puncture site Relative CI-- Increased ICP (increase possibility of brain herniation) CT should be done prior, thrombocytopenia or coagulopathies. Describe the process for performing a lumbar puncture 1. Identify interspaces and mark puncture site at the L4-5 interspaces in a perpendicular line from the iliac crest. The L3-4 interspace above this level may also be used. 2. Don hat, mask, sterile gown, and sterile gloves. Set up prepared LP tray. 3. Using sponge applicator provided in LP tray, prepare the back with Chlorhexadine solution, beginning at the site marked for the needle puncture and working outward. Repeat twice. 4. Drape the patient 5. Recheck the landmarks 6. Infiltrate the skin and subcutaneous tissue with preservative free 1% lidocaine with a 22-25-gauge needle.

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What is informatics?
Accounts for developing, designing, adopting, and applying technologies in health
care to improve delivery of service and improve quality and safety of care.
What is the role of informatics in healthcare?
To improve delivery, quality, and safety of services
How effective are EHRs?
EHRs are a standard part of nursing and medical care.
There are pros and unintended consequences of EHR use in health care: Dramatic
savings, shared knowledge, patient participation, the impersonalization of care,
improve coordination, and improve outcomes.
How does the EHR impact the quality and safety of care?
By reducing medical errors. Using a system approach.
Analyze the role of EMR in reducing errors and improving patient
outcomes.
EHRs improve risk management by:
1. Providing clinical alerts and reminders
2. Improving aggregation, analysis, and communication of patient information
3. making it easier to consider all aspects of a patient's condition
4. Supporting diagnostic and therapeutic decision making
5. Gathering all relevant information in one place
6. Support for therapeutic decisions
7. enabling EB decisions at point of care
8. Preventing adverse events
9. Providing built-in safeguard against prescribing treatments that would result in
adverse events
10. Enhancing research and monitoring for improvements in clinical quality.
Review the benefits of Medical technology in education of health care
providers and patients
Greater patient care
improved public health
ease of workflow
lower healthcare costs
better and safer data storage
improved access to big data
centralized data point
the risk of medical records hacking
Explain the role of clinical decision support systems in reducing errors and
improving patient outcomes

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