As part of an information technology implementation team, you are implementing a clinical decision support system. Particular considerations for successful implementation of this project include:
a. Ensuring that the system is reliable.
b. Ensuring that patient information is relia-ble.
c. Developing unique identifiers for indi-viduals.
d. Developing rules that support inferences.
D
Clinical decision support systems provide support for novice nurses, in particular, as they enable entry of real-time data from patient situations and inferences that apply the logic that expert nurses would use. These inferences require rules to be developed for the system.
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The LPN/LVN makes nursing decisions based on critical thinking and:
1. Scientific data. 2. Opinions. 3. Judgments. 4. Assumptions.
The nurse is caring for a patient in the ICU whose condition is deteriorating. The nurse receives orders to initiate an infusion of dopamine. What would be the priority assessment and interventions specific to the administration of vasoactive medications?
A) Frequent monitoring of vital signs, monitoring the central line site, and providing accurate drug titration B) Reviewing medications, performing a focused cardiovascular assessment, and providing patient education C) Reviewing the laboratory findings, monitoring urine output, and assessing for peripheral edema D) Routine monitoring of vital signs, monitoring the peripheral IV site, and providing early discharge instructions
The nurse is reviewing the admission blood work of a patient who is being treated for significant burns. The patient's serum potassium level is 7.1 mEq/L (normal 3.5 to 5.0 mEq/L), which is primarily a result of:
A) Acute renal failure B) Massive adrenal release of glucocorticoids C) Myocardial stress D) Cell destruction
The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta (OI). What should the nurse include in the teaching session?
a. "Bisphosphonate therapy is not beneficial for OI." b. "Physical therapy should be avoided as it may cause damage to bones." c. "Lift the infant by the buttocks, not the ankles, when changing diapers." d. "The infant should meet expected gross motor development without assistive devices."