A final rule about data regulation is published in the Federal Register; however, a flaw is found in the language. What should the informatics nurse expect once the error is reported to the federal agency?
A) Nothing since the rule is final
B) A note saying that the error is documented
C) A letter saying that an amendment is being drafted
D) An email saying that final rules cannot be amended
C) A letter saying that an amendment is being drafted
Explanation: A) Even after a rule is finalized, all communication about the rule and any changes must be addressed and go through the approval process again.
B) The error will be acted upon and not just documented.
C) There still are opportunities to amend rules, even after the final rule is published. New data, re-interpretation of data, a change in philosophy about a program, or a change in administration can prompt changes in programs. All changes must go through the original process.
D) Final rules can be amended.
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Before a newborn and mother are discharged from the hospital, the nurse informs the parents about routine screening tests for newborns. What is a good reason for having the screening tests done?
1. The tests prevent infants from developing phenylketonuria. 2. The tests detect such disorders as hypertension and diabetes. 3. The tests detect disorders that cause mental retardation, physical handicaps, or death if left undiscovered. 4. The tests prevent sickle-cell anemia, galactosemia, and homocystinuria.
Which side effects are commonly associated with most nonsteroidal anti-inflammatory drugs (NSAIDs)? (Select all that apply.)
a. Bleeding b. Constipation c. Drowsiness d. Dry mouth e. Gastrointestinal ulcers f. Hypertension g. Memory loss (temporary)
Managed care was a methodology adopted in the 1980s and 1990s. It is a system designed to deliver through a specific network of providers and to reduce costs. However, the cost saving was short-lived because
1. Consumer groups did not endorse the plans. 2. Clients had been used to access to providers of their choice and unlimited service. 3. Medicare and Medicaid took over these plans, making them unnecessary. 4. The system lacked proper payment to physicians and many practitioners went out of business.
A nurse is assessing the sleep patterns of a female client age 70 years with a mental disorder. Based on the knowledge of circadian rhythms and the influence of age,
which of the following would the nurse anticipate that the client would report about her sleep pattern? A) "When I was younger, I didn't notice any differences in how I felt in the morning or evening." B) "Now it seems like I have difficulty falling asleep or staying asleep even when circumstances are adequate for sleep." C) "When I worked days, I'd always have trouble feeling sleepy in the morning." D) "When I was younger, the amount of sleep I got didn't seem to matter."