Practitioners from many disciplines use the medical record to document data. The most important purpose of the medical record is to:
A. invoice the patient or insurance company for reimbursement.
B. protect the clinician in case of a malpractice suit.
C. ensure everyone is working toward a common goal of providing safe care.
D. contribute to a databank for medical and nursing research.
C
The overall purpose of the medical record is to ensure all health team members are working toward a common goal of providing safe, effective, continuity of care.
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A young adult begins taking clonidine [Kapvay] to treat ADHD symptoms after suffering anorexia with methylphenidate [Ritalin]. What will the nurse include when teaching this patient about taking clonidine?
a. "Avoid consuming alcohol while taking this medication." b. "Insomnia may still occur while taking this drug." c. "You will need to pick up a written pre-scription every 30 days." d. "You may crush the tablets and put them in food."
In historical research, what is the reason that the literature review begins so early and extends so far into the process?
a. Historians must include exact dates in their histories. The literature must be checked and double-checked, in order to verify the correctness of these dates. b. Historical research demands one extra stage of data review, just prior to publication, since new published data could bring the results under scrutiny. c. Historians develop their ideas for research proposals from reading other histories. As discrepancies arise, these provide the ideas for research. d. The literature essentially comprises the bulk of the data set. From this, plus other artifacts and interviews, if available, the historian writes the story.
When obtaining the history from a client with primary RLS, the nurse expects complaints that symptoms are:
a. worse in the morning on waking up. c. worse in the evening and at bedtime. b. primarily noticeable after exercising. d. associated with pregnancy.
The nurse is teaching a patient about acute coronary syndrome. What will the nurse teach that describes the progression of events in this disorder?
1. A thin fibrin layer stabilizes the ruptured plaque and prevents the occlusion of coronary vessels when stable angina is present in ACS. 2. When complete platelet occlusion occurs in a vessel, the ECG changes include nonspecific ST elevation without necrosis occurring in ACS. 3. The growth of platelet-rich thrombi in the smaller vessels creates a blockage and is the cause for unstable angina symptoms in ACS. 4. Sudden plaque buildup in a narrow vessel immediately leads to an acute myocardial infarction when stable angina is present in ACS.