YL
D
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ST
, AB
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Question 3
Type: MCSA
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and
oxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
ST
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Correct Answer: 4
U
Rationale 1: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
information.
D
Rationale 2: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
YL
information.
Rationale 3: Your chosen response is an example of having pieces of data without interpretation.
"Information" necessitates that the nurse interpret and structure the results of clinical data into
information.
AB
Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into
information. It can then be used to aid clinical decision making and client monitoring. All other
responses included pieces of data without interpretation.
Global Rationale:
Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome:
Question 4
Type: MCSA
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