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What is the main purpose of health informatics?
- A. To manage patient care
- B. To store patient records
- C. To enhance clinical decision making
- D. To improve healthcare policies
Correct Answer: C
Rationale: The correct answer is C: To enhance clinical decision making. Health informatics involves utilizing technology to collect, store, analyze, and present healthcare data to support clinical decision-making processes. By leveraging data and information systems, healthcare providers can access relevant information quickly and make informed decisions that improve patient outcomes.
Explanation of why the other choices are incorrect:
A: To manage patient care - While health informatics plays a role in managing patient care through data management and analysis, its primary purpose is to improve decision-making processes rather than directly managing care.
B: To store patient records - Storing patient records is an essential function of health informatics, but the main purpose goes beyond mere storage to include utilizing data to support decision-making.
D: To improve healthcare policies - Health informatics can contribute to evidence-based policymaking by providing data insights, but its main focus is on enhancing clinical decision-making rather than policy development.
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A nurse is caring for a client who has a nasogastric (NG) tube and is receiving intermittent
feedings through an open system. Which of the following actions should the nurse take first?
- A. Make sure the enteral formula is at room temperature.
- B. Wipe the top of the formula can with alcohol.
- C. Rinse the feeding bag with water between feedings.
- D. Tell the client to keep the head of the bed elevated at least 30°
Correct Answer: B
Rationale: The correct answer is B: Wipe the top of the formula can with alcohol. This is the first action the nurse should take because it ensures the cleanliness and sterility of the formula before administering it to the client through the NG tube, reducing the risk of contamination and infection.
A: Making sure the enteral formula is at room temperature is important but not the first action to take.
C: Rinsing the feeding bag with water between feedings is not necessary for every feeding and does not address the immediate need to ensure the cleanliness of the formula.
D: Instructing the client to keep the head of the bed elevated is important for preventing aspiration but is not the first action to take in this scenario.
A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?
- A. Moral suffering
- B. Moral distress
- C. Ethical dilemma
- D. Veracity
Correct Answer: A
Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering.
Incorrect choices:
B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation.
C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses.
D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.
What is the primary role of a nurse in an interdisciplinary team?
- A. To lead the healthcare team
- B. To advocate for the patient
- C. To provide emotional support to the patient
- D. To ensure compliance with regulations
Correct Answer: B
Rationale: The correct answer is B: To advocate for the patient. Nurses play a crucial role in advocating for the best interests of patients by ensuring their needs are met, promoting informed decision-making, and safeguarding their rights. Advocacy involves communication, empowerment, and promoting patient-centered care. Leading the healthcare team (A) is typically the role of a healthcare provider such as a physician or a team leader, not specifically a nurse. Providing emotional support (C) is essential for nurses, but it is not their primary role in an interdisciplinary team. Ensuring compliance with regulations (D) is important but is more aligned with administrative roles rather than the primary role of a nurse in an interdisciplinary team.
When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
- A. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.
- B. Discuss the reason for the use of insulin therapy during the immediate postoperative period.
- C. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
- D. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
Rationale:
1. Administering insulin falls under the scope of practice for an LPN/LVN.
2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure.
3. LPN/LVNs are trained to administer medications safely and accurately.
Summary:
A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN.
B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse.
D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.
The nurse manager is responsible for implementing a new electronic health record (EHR) system. What is the first step in this process?
- A. Train all staff on the new system
- B. Identify the project team
- C. Develop a training program
- D. Conduct a needs assessment
Correct Answer: B
Rationale: The correct answer is B: Identify the project team. This is the first step in implementing a new EHR system as it involves selecting individuals with the necessary skills and expertise to oversee the project. Once the project team is in place, they can then move on to conducting a needs assessment (D) to identify requirements, developing a training program (C) based on the assessment, and finally training all staff on the new system (A) with the guidance of the project team. Identifying the project team first ensures there is leadership and direction in place to effectively carry out the implementation process.