1. . Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?
Answer: The medication administrationrecord and the nursing assessment notes
from the last shi
...
1. . Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?
Answer: The medication administrationrecord and the nursing assessment notes
from the last shift indicate the patient's level of comfort.
2. . Which information in a patient's medical record will help a nurse plan andmanage
the patient's pain?
Answer: Physician orders
3. . A patient completes the course of treatment for tuberculosis and is ready to be
discharged home. Which instructions should be included in the patient's discharge
education?
Answer: Importance of completing the medication prescribed.
4. . After a patient's assessment, a nurse observes a decrease in respirationand
wheezing on auscultation. Which data set in the medical record informs the decision
to implement the ineffective airway clearance nursing care plan?-
Answer: The radiology report impression indicates pulmonary infiltrates and the
nursingassessment indicates a decrease in respirations.
5. . The health administrator at a clinic observes an increase in the number ofpatients
with a complaint of difficulty breathing, fatigue, and loss of appetite.Which data in
the electronic health record (EHR) will provide a cross-reference to the impacted
patient population?
Answer: Patient demographic records
6. . Which view in the electronic health record (EHR) confirms a patient'sblood
pressure is stabilizing?
Answer: Graphical trending
7. . After a patient's initial assessment, a nurse observes an increase in edema,
bilateral crackles, and persistent cough.Which data set in the medicalrecord from the
last shift informs the decision to implement the fluid volumeoverload care plan?
Answer: Nursing flowsheet and intake and output record
8. . Which data set in the electronic health record (EHR) will assist in evaluating the
number of positive influenza tests at a facility within the past year?
Answer: Laboratory records
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