EAQ 4
The nurse uses a visual analogue scale to rate the pain experienced by a client receiving oxycodone therapy. Which terminology would the nurse use to enter the visual analogue scores in the client's electronic health record?
Omaha system - it includes codes for entering the data obtained from a problem rating scale in the EHR
Which database can be used to find studies related to allied health sciences?
MEDLINE - includes studies in medicine, nursing, dentistry, psychiatry, veterinary medicine, and allied health; EMBASE - biomedical and pharmaceutical studies, clearinghouse- repository for structured abstracts about clinical guidelines and their development, chochrane database- full text of regularly updated systematic reviews prepared by the chochrane collaboration as well as completed reviews and protocols
Which radiographic test is used to view the entire skeleton?
bone scan: gallium and thallium scans are similar but more specific and sensitive to detecting bone disorders, a CT scan is used to detect musculoskeletal problems primarily in the vertebral columns and going, MRI used to diagnose musculoskeletal disorder
Which action would the nurse take to minimize ambiguity and confusion when entering a client's data in the EHR?
use consistent, codified terminology
Which does the nurse understand by the Quality and Safety Education for Nurses (QSEN) competency called informatics?
use information and technology to communicate, manage knowledge, mitigate error, and support decision- making
Which organization assists in establishing policies related to medicare and medicaid payment for meaningful use of electronic health records?
center for medicare and medicaid services: The National Institutes of Health (NIH) uses translational bioinformatics for medical research, the American Medical Informatics Association (AMIA) and Health Information Management Systems (HIMSS) have been involved in identifying nursing informatics competencies
Which test provides information on bladder capacity, bladder pressure, and voiding reflexes?
cystometrography: radiography test for disorders of the kidney and urinary system to screen for presence of two kidneys, to measure kidney size and detect gross obstruction in kidneys or urinary tract; renal ateriography used to determine renal bloos vessel size and abnormalities; EMG is a urodynnamic study to test the strength of perineal muscles in voiding
Which action would the nurse take when caring for an older adult with a history of recent memory loss?
employ electronic devices that provide alerts - adjusting the daily schedule can aid older adults who have changes in their sleep patterns, instructing client to move slowly when changing positions can prevent dizziness and falls caused by orthostatic BP changes or altered balance/coordination, remind client to check where feet are placed can help older adults with a decreased sensory perception of touch
Which conditions are risk factors that may place infants at a higher risk for developing jaundice?
infection, prematurity, breast feeding, maternal diabetes
Which technology would the nurse use to reduce ulcers by removing fluids from the wound?
negative pressure wound therapy; electrical stimulation is done by the application of low voltage current to a wound ares to increase blood vessel growth and promote granulation; topical growth factors are the normal body substances that stimulate cell movement and growth; hyperbaric oxygen therapy is the administration of oxygen under pressure, raiding the tissue oxygen concentration
Which is the subset of clinical health care informatics?
nursing informatics - a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice
Which terminology system would the nurse use to enter nursing diagnoses, intervention, and outcomes in electronic health records?
perioperatative nursing data set (PNDS) ; the Omaha system provides codes for problem classification and intervention and problem classification and intervention and a problem ratine scale for outcomes; NIC provides codes only for interventions; NANDA provides codes only for nursing diagnoses
A client with DM experiences a sudden fall in blood glucose levels while traveling by air. The client is not carrying any mediations or a copy of personal medical record. Which type of health information technology would be beneficial to this client?
personal health record (PHR) - electronic health record that consists of health data and the treatment provided for the client
Which action by the student nurse may inhibit clients from disclosing personal information?
sharing client's data with family members
Which type of health information technology would the nurse access to obtain health data for all employees at a multispecialty hospital for research purposes?
EHR- the official health records of an individual can be exchanges between facilities and health care agencies; EMR primarily prepared and maintained within a health care providers' facility, they are not shared between facilities; clinical information systems (CISs) consist of the information technology that provides the best tools for achieving quality outcomes for clients; the regional health information organization (RHIO) health record is an individual health record that can be exchanged among providers across geographic areas
The nurse working in a cardiac center is preparing to enter client data using health information technology. The nurse needs to refer to these data during subsequent follow up client visits. Which type of record would the nurse use to enter the client's data?
EMR - a client's health record within a health care provider's facility
