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1. Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient ANS The medication
administration record 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
and manage the patient's pain ANS 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 ANS Importance of completing the
medication prescribed
4. A mother brings her child to the emergency department after noticing
the child had trouble breathing, refused breastfeeding, and no urine in the
diaper within the last eight hours. The provider suspects respiratory
syncytial virus and admits the infant to the hospital. How will data in the
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, medical record inform the decision to select appropriate infection-control
precautions ANS The data will identify the pathogen causing the
patient's symptoms
5. A nurse admits an infant with a severe hacking cough, vomiting, and a
fever for the past two weeks. Which data in the electronic medical record
(EMR) informs the decision to implement infection-control precautions ANS
The nasopharyngeal swab culture results indicate the patient is
positive for Bordetella pertussis.
6. A patient is admitted to the hospital with a painful rash on the left side of
the face. The provider orders the patient to be placed on contact
precautions. Which data in the electronic health record (EHR) informed the
decision to implement contact precautions ANS The skin culture results
indicate the presence of the varicella-zoster virus.
7. After a patient's assessment, a nurse observes a decrease in respiration
and wheezing on auscultation. Which data set in the medical record
informs the decision to implement the ineffective airway clearance nursing
care plan ANS The radiology report impression indicates pulmonary
infiltrates and the nursing assessment indicates a decrease in
respirations.
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