To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address which point of care exemplar?
a. Care coordination
b. Documentation
c. Electronic records
d. Fall prevention
ANS: D
The most common safety issues at the sharp end include prevention of decubitus ulcers, medication administration, fall prevention, invasive procedures, diagnostic workup, recognition of/action on adverse events, and communication. These are the most common issues the staff nurse providing direct patient care encounters. Each of the other options are classified as systems level exemplars.
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While auscultating the heart of a 5-year-old child, the nurse notes a murmur that is soft and quiet and heard each time the heart is auscultated. The nurse documents this finding as which of the following?
A) Grade 1 B) Grade 2 C) Grade 3 D) Grade 4
The electronic health record (EHR) has the potential to integrate all pertinent patient information into one record
It also has potential to improve the quality of health information, patient safety, and productivity, contain costs, support research, decrease wait time for treatment and contribute to the body of health care knowledge. Which of the following are reasons why traditional paper records on clients no longer meet the needs of today's health care industry? Select all that apply. 1. Paper records are episode-oriented with a separate record for each client visit. 2. Key information may be lost from one episode to the next, jeopardizing patient safety. 3. Only one person can access a paper record at any given time. 4. Different versions of the same information may be stored in several places. 5. Paper records cannot incorporate diagnostic studies that include images and sound.
Which statements made by a client indicate an understanding of the education for corticosteroid therapy?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "If I cannot take my medicine for more than 2 days, I will contact my healthcare provider." B. "I will take my medication at the same time every day." C. "I will take my medication with food or a meal." D. "I will avoid dairy products while taking this medication." E. "If I notice my vision is changing, I will contact my healthcare provider."
A nurse is caring for a client who is recovering from a partial gastrectomy. The client notes abdominal pain, cramping, and diarrhea around 45 minutes postprandial. Which of the following does the nurse know to be true? Select all that apply.
A) The client is experiencing late dumping syndrome. B) The client is experiencing hypoglycemia. C) The client may be treated with acarbose. D) The client should lie down for around 45 minutes after meals. E) The client should decrease intake of very hot foods.