Which of the following groups have been selected to help drive the changes necessary to transform the health care delivery system, improve quality of services delivery, and improve safety?

1. Software engineers
2. Members of TIGER initiative
3. Members of the Institute of Medicine
4. Informatics nurse specialists


4
Rationale: Software engineers can create the software employed by hospitals and clinical areas based upon the data gleaned from informatics nurse specialists.

Nursing

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After leaving the proximal tubule, the filtrate enters

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A patient has suffered a major trauma, resulting in activation of the intrinsic and extrinsic coagulation pathways. What laboratory result would most likely interfere with normal coagulation?

A) Normal fibrin level B) Normal platelet count C) Elevated phospholipids D) Critical hypocalcemia

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A patient presents with withdrawal, poor concentration, fatigue, weakness, anorexia and aches. What conditions should the nurse consider as part of a differential diagnosis?

1. Anxiety and multiple sclerosis 2. Depression and congestive heart failure 3. Anxiety and diabetes 4. Depression and acute inflammatory illness

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A confused patient frequently calls out for "help" throughout the shift. When nursing staff respond to the call, the patient is unable to explain what is needed. What action should be taken by the nurse?

1. Continue to respond and attempt to reorient the patient. 2. Restrain the patient in soft wrist restraints. 3. Move the call bell out of the patient's reach. 4. Chemically restrain the patient with a mild sedative.

Nursing