Which of the following statements about meaningful use is correct?
1. Meaningful use will provide invaluable information that will define the numbers of staff members needed at the bedside.
2. Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system.
3. Meaningful use is an ongoing process and not an issue associated with the EHR.
4. Meaningful use is an issue that must be addressed before implementing any upgrade.
2
Rationale: Meaningful use will provide invaluable information that will improve patient outcomes and population health changing many current practices as we transform our health care delivery system.
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The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate nursing diagnosis for this child is:
1. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow. 2. Deficient fluid volume related to hyperthermia secondary to the congenital heart defect. 3. Acute pain related to the effects of a congenital heart defect. 4. Hypothermia related to decreased metabolic state.
The nurse monitoring a client load for risks of acute renal failure (ARF) understands that older clients are more susceptible to ARF because (Select all that apply)
a. cardiac contractile function and kidney perfusion diminish with age. b. medication use is generally lower in this age group. c. of a higher probability of pre-existing renal damage. d. older adults have more difficulty with fluid balance in general. e. the ability to retain sodium declines with age.
The nurse is planning care for a client who is experiencing dementia. What essential concept should the nurse consider for this planning?
1. Background noise such as music will keep this client calm. 2. Activities should be scheduled at the same time each day. 3. Pain mediation will increase dementia. 4. It is important to talk with the client throughout procedures.
The nurse is assisting a client in obtaining a sputum specimen. After a deep cough, the client produces approximately 1/2 tsp of sputum. Which is the nurse's next action?
A. Assist the client to cough again and produce more sputum. B. Send the specimen to the lab. C. Allow the client to rest for one hour and then ask the client to cough again. D. Ask the client to walk around for 30 minutes and try again to produce sputum.