Which activity or intervention is the biggest deterrent to the success of an EHR implementation?
a. Schedule the go-live date for a Monday when vendor support staff is most available
b. Anticipate user resistance and plan for it
c. Possess an understanding that there is no finish line for EHR Maintenance
d. Provide ample education to all users with opportunities for practice
ANS: A
It is best to avoid Monday as the go-live date because it is usually one of the busiest days for healthcare providers.
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The parents of a 3-year-old admitted for recurrent diarrhea are upset that the practitioner has not told them what is going on with their child. What is the priority intervention for this family?
a. Answer all of the parents' questions about the child's illness. b. Immediately page the practitioner to come to the unit to speak with the family. c. Help the family develop a written list of specific questions to ask the practitioner. d. Inform the family of the time that hospital rounds are made so that they can be present.
During the Weber test, the nurse determines that the patient hears the sound of a tuning fork equally in each ear and:
A) Repeats the test again using a 200-Hz tuning fork. B) Tells the patient that this represents a normal finding. C) Refers the patient for additional testing of her or his hearing abnormality. D) Asks the patient to keep her or his eyes closed so that the test can be repeated.
The primiparous patient at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head-down position."
The nurse is caring for a patient with a painful back injury that occurred 6 months ago. Which nursing diagnosis—using the Problem-Etiology-Symptoms (PES) system—is best?
a. Acute pain related to patient pain rating of 6 as evidenced by muscle spasms and nerve compression b. Chronic pain related to muscle spasms as evidenced by patient pain rating of 8 and difficulty walking c. Acute pain related to inability to sit as evidenced by muscle spasms d. Pain as evidenced by herniated lumbar disk