A client has been prescribed a hydrogen ion antagonist for several years. Which of the following is this client at risk for developing?
1. Pancreatitis
2. Liver necrosis
3. Hepatic failure
4. Vitamin B-12 deficiency
4
Long-term use of hydrogen ion antagonists may lead to vitamin B-12 deficiency because they decrease the absorption of the vitamin. The other choices are severe adverse effects of proton pump inhibitor medications.
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The Health Information Management Systems Society (HIMSS) developed an EMR adoption model that includes eight stages toward creating a paperless patient record environment
All application capabilities within each stage must be operational before the next stage can be achieved. Your organization has implemented systems for Stages 1 and 2. Which system should your organization consider as Stage 3 adoption? a. Computerized provider order entry (CPOE) and clinical decision support b. Nursing/clinical documentation (flow sheets) and clinical decision support c. Closed loop medication administration d. Physician-structured documentation and clinical decision support
Standards are applied in cases of informed consent. These standards include:
a. reasonable person standard b. subjective standard c. objective standard d. all of the above e. A and B only
During well-child clinic, the nurse suspects depression in an 8-year-old child who has which of the following symptoms?
A) He or she expresses boredom and watches TV but cannot remember what was watched. B) He or she likes to collect baseball cards and plays on a baseball team. C) He or she talks excessively and brags about the ability to play baseball. D) He or she enjoys playing the piano and going to dance class.
The organization has noted an increase in negative patient variances related to medication administration. What steps should be taken by the organization? Select all that apply
1. Look for reasons for the variances. 2. Identify those at fault for the variances. 3. Document the variances in the medical records of the patients involved. 4. Try to find a resolution for the variances. 5. Rewrite the clinical pathways.