Nokea
A nurse is documenting a patient's care in the electronic health record (EHR). What principle should guide the nurse's documentation practices?
- A. Recording only objective data to maintain accuracy
- B. Documenting all care provided, including assessments and interventions
- C. Avoiding documentation of errors or adverse events to prevent liability
- D. Delaying documentation until the end of the shift to save time
Correct Answer: B
Rationale: Documenting all care provided, including assessments and interventions, is the principle that should guide the nurse's documentation practices in the electronic health record (EHR). Comprehensive and accurate documentation is essential for ensuring continuity of care, communication among healthcare team members, and legal protection. By documenting all care provided, the nurse contributes to a complete and thorough picture of the patient's condition and treatment, facilitating safe and effective patient care. This principle also aligns with professional standards and regulatory requirements, emphasizing the importance of timely and complete documentation in the EHR.
You may also like to solve these questions
Which is the best strategy to control Incidence of Rabies in the community
- A. Impound dogs
- B. Kill stray dogs
- C. Responsible pet owner
- D. Fine the owner
Correct Answer: C
Rationale: The best strategy to control the incidence of rabies in the community is to promote responsible pet ownership. Responsible pet owners ensure that their pets are vaccinated against rabies, kept on a leash or within a confined area, and are not allowed to roam freely. By doing so, the chances of their pets contracting and spreading rabies are greatly reduced. This approach focuses on prevention rather than reactive measures such as impounding or killing dogs, which may not effectively tackle the root cause of the problem. Additionally, fining the owner may serve as a deterrent, but it does not address the overall issue of preventing rabies transmission. Encouraging responsible pet ownership is a sustainable and humane way to reduce the incidence of rabies in the community.
what must the Emergency Room Nurse do FIRST?
- A. Start an intravenous line at once.
- B. Position with head lower than extremities.
- C. Request for laboratory examinations.
- D. Stop the bleeding immediately.
Correct Answer: B
Rationale: When a patient arrives in the emergency room, the nurse's first priority is to assess the patient's airway, breathing, and circulation, following the ABCs of emergency care. In this scenario, positioning the patient with the head lower than the extremities ensures proper blood flow to vital organs, especially the brain. This position helps to maintain perfusion to the brain and prevent complications such as hypotension and shock. Once the patient's position is optimized, the nurse can proceed with further interventions such as starting an intravenous line, stopping bleeding, and requesting laboratory examinations as needed.
Nurse Sandy has completed the study and started to make a report to be Research department. A written brief summary is submitted which is known as _____.
- A. narrative
- B. critical appraisal
- C. abstract
- D. monograph
Correct Answer: C
Rationale: An abstract is a concise summary of a research study that provides an overview of the purpose, methods, results, and conclusions of the research. It is usually the first section of a research report or article and serves to give the reader a quick understanding of the study without having to read the full document. In this case, Nurse Sandy has completed the study and is preparing to submit a written brief summary to the Research department, which is typically in the form of an abstract. It highlights the key points of the study, allowing others to quickly grasp the main findings and implications.
A patient presents with a painless, gradually enlarging mass in the left neck, anterior to the sternocleidomastoid muscle. Fine-needle aspiration cytology reveals thyroid follicular cells. Which of the following conditions is most likely responsible for this presentation?
- A. Thyroglossal duct cyst
- B. Lymphadenopathy
- C. Thyroid adenoma
- D. Thyroid carcinoma
Correct Answer: C
Rationale: The presentation described is most consistent with a thyroid adenoma. Thyroid adenomas are benign neoplasms of the thyroid gland and can present as painless, gradually enlarging masses in the neck. Fine-needle aspiration cytology revealing thyroid follicular cells further supports the diagnosis of a thyroid adenoma. Thyroglossal duct cysts typically present as midline neck masses that move with swallowing, while lymphadenopathy presents as enlarged lymph nodes and may be associated with infection or malignancy. Thyroid carcinoma may also present as a neck mass but is more likely to be associated with other features such as vocal cord paralysis, hoarseness, or enlarged cervical lymph nodes.
Pulmonary Rehabilitation for COPD has a duration of at least 4 to 12 weeks. Which of the following should be avoided while patient is having this program?
- A. Pursed lip breathing
- B. Smoking cessation
- C. Aerobic, upper and lower body conditioning
- D. Peripheral muscle wasting
Correct Answer: B
Rationale: During pulmonary rehabilitation for COPD, smoking cessation should not be avoided but instead strongly encouraged. Smoking cessation is a crucial component in managing COPD and improving lung function. Continued smoking can exacerbate COPD symptoms and hinder the progress made through rehabilitation efforts. Therefore, it is essential for patients to quit smoking while undergoing pulmonary rehabilitation to maximize the benefits of the program and improve their overall lung health.