Which action indicates the nurse is functioning as a knowledge worker?
1. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record.
2. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record.
3. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours.
4. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record.
3
Rationale: Your chosen response is an example of gathering assessment data and recording same in the EMR. The nurse as knowledge worker interprets and structures clinical data into information that can then be used to aid clinical decision making and patient monitoring over time. In the auscultation with diminished breath sounds choice, the nurse compared the data to the knowledge that the client may be developing atelectasis, and acted upon this by having the client turn, cough, and deep breathe more frequently than the standard practice of every two hours.
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If a physician orders a patient to be placed in Trendelenburg's position, the nurse should position the bed:
a. on the floor. b. parallel with the floor. c. tilted with the head of the bed down. d. tilted with the foot of the bed down.
The nurse manager clarifies that "safe hospital environment" implies that in the hospital setting people will be free from:
a. falls. b. exposure to contaminates. c. injury. d. electrical hazard.
Which of the following explains the difference between primary hemostasis and secondary hemostasis? Select all that apply
1. Primary hemostasis is characterized by vascular contraction. 2. Primary hemostasis is characterized by platelet adhesion. 3. Primary hemostasis is the stage in which a soft aggregate plug is formed. 4. Secondary hemostasis is responsible for stabilizing the soft clot and maintaining vasoconstriction. 5. The coagulation cascade is activated during primary hemostasis.
What type of medication order should be given immediately or only once?
1. A single order 2. An ASAP order 3. A prn order 4. A STAT order