Which of the following will have the greatest impact on data integrity?
1. The computer system goes down but is completely restored within one minute.
2. A nurse collects data related to allergies but fails to document all reported allergies.
3. A clinic manager uses secondary storage for storing clinical records offline.
4. A number of printed media clinical records are discarded in the regular trash dumpster.
2
Rationale: Data integrity refers to the ability to collect, store, and retrieve correct, complete, and current data so that it will be available to authorized users when needed. If the data are faulty or incomplete, the quality of derived information may be poor, resulting in decisions that may be inappropriate and possibly harmful to clients. A one minute computer outage would disrupt operations but would not necessarily impact data integrity.
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A pediatric nurse advocates for the children's oncology clinic by initiating a fundraising project that will help pay for expansion of the bathrooms to accommodate wheelchairs. The nurse's motivation is in response to an awareness of which of concept?
A. Chronic illnesses of the patients B. Disabilities of the patient population C. Handicaps of the patient population D. Work of the clinic nurse and other staff
Upon discharge from the hospital, a patient is going home and will need medication injected weekly, assistance with meal preparation, and minor assistance with activities of daily living
The nurse would identify which community-based care service as appropriate for this patient? 1. Home care 2. Hospice care 3. Ambulatory surgical care 4. Long-term care
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What actions should be taken by the nurse? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Plan to keep the patient's temperature low until he is completely awake from anesthesia. 2. Wrap the patient's head in warmed blankets. 3. Rewarm the patient as quickly as possible. 4. Administer warmed IV fluids. 5. Ask respiratory therapy to warm inspired ventilator air.
An adolescent with juvenile idiopathic arthritis (JIA) is prescribed abatacept (Orencia). Which should the nurse teach the adolescent regarding this medication? (Select all that apply.)
a. Avoid receiving live immunizations while taking the medication. b. Before beginning this medication, a tuberculin screening test will be done. c. You will be getting a twice-a-day dose of this medication. d. This medication is taken orally.