Which of the following supports the development of an EHR by classifying and categorizing nursing data?
1. North American Nursing Diagnosis Association (NANDA)
2. HL7
3. Service oriented architecture (SOA)
4. SNOMED
1
Rationale: North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) support of the development of an EHR by classifying and categorizing nursing data. They are designed to be used together as one large system for classifying nursing care.
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The client is diagnosed with cancer, and receives a series of chemotherapy
Following this treatment, the nurse reads the client's medical record and learns the tumor has been designated a Stage IV, T4, N3, M1, and interprets this to mean the tumor has: 1. Been reduced in size by the chemotherapy. 2. Responded to chemotherapy, but the chemotherapy needs to be continued. 3. Metastasized, and there is lymph node involvement. 4. Grown, but is limited to the original tumor.
When teaching community preparedness for a community group, the nurse explains that components of the National Disaster Medical System (NDMS) provide for: (Select all that apply.)
a. a nationwide bomb disposal squad team for the rapid removal of explosive devices. b. teams of health care providers who are experts and have specialized supplies and equipment. c. structures for patient evacuation from the disaster area to an unaffected area. d. arrangements for hospitalization in federal and volunteer nonfederal acute care hospitals. e. providing mental health care for the community, for victims, and for health care providers.
The nurse notes a difference in systolic blood pressure readings between the client's arms. How will the nurse approach subsequent readings based upon this difference in blood pressures?
A) The nurse will use the arm with the highest reading. B) The nurse will use the arm with the lowest reading. C) The nurse will average the two blood pressures and document this average. D) The nurse will obtain a blood pressure on the client's leg.
An 80-year-old client is being treated for chronic urinary tract infections. She has received multiple antibiotics in the past 6 months. The physician orders a urine culture
The results of the urine culture are as follows: Staphylococcus aureus >100,000 colonies and demonstrated resistance to sulfamethoxazole and trimethoprim (Bactrim), penicillin, methicillin, and erythromycin. The client is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) on the basis of the findings of her urine test. Based on the client's history, a cause of the MRSA might be microbial: A) Rejection B) Assimilation C) Adaptation D) Stagnation