The nurse is admitting a patient who has had several previous admissions. In order to obtain a knowledge base about the patient's medical history, the nurse may use the:
a. electronic medical record (EMR).
b. the computerized provider order entry (CPOE).
c. electronic health record (EHR).
d. American Recovery and Reinvestment Act.
ANS: C
The EHR is a longitudinal record of health that includes the information from inpatient and outpatient episodes of health care from one or more care settings. The EMR is a record of one episode of care, such as an inpatient stay or an outpatient appointment. CPOE allows clinicians to enter orders in a computer that are sent directly to the appropriate department. It does not provide historical data. The American Recovery and Reinvestment Act of 2009 is the government mandate that requires the use of a certified EHR for each person in the United States by 2014.
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A blue-tinged umbilicus, which may indicate abdominal bleeding, is known as
A) Cushing's syndrome. B) Cardinal's symptom. C) Cullen's sign. D) Cyanosis syndrome.
A client referred to the eating disorders clinic has been diagnosed as having anorexia nervosa
History reveals she virtually stopped eating 5 months ago and has lost 25% of her body weight. Lab tests reveal hypokalemia. On the basis of what is currently known about the client, the nursing diagnosis that can be established is a. adult failure to thrive related to abuse of laxatives, as evidenced by electrolyte imbalances. b. disturbed energy field related to physical exertion in excess of energy produced through caloric intake, as evidenced by weight loss. c. ineffective health maintenance related to self-induced vomiting, as evidenced by swollen parotid glands. d. imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight.
While caring for the patient and his or her family preoperatively the nurse makes times to listen to their fears and to describe the sensations that the patient can expect. What sensations would the nurse describe for the patient and the family?
A) The anesthetic B) Postoperative pain medications C) Preoperative sedation D) Morphine E) Demerol
The parents of a child with a serious genetic illness tell the nurse they plan to conceive another child so that stem cells will be available for treatment. What information should the nurse provide?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The infant may not be a transplant match for the ill child. 2. This action can result in a serious legal issue for the parents. 3. The infant may also have the genetic disorder. 4. The donation of the infant's stem cells cannot be specifically directed to any person. 5. This is a unique and wonderful plan.