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Exam (elaborations)

NMNC 1110 WEEKS 9-11 QUESTIONS WITH CORRECT ANSWERS

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NMNC 1110 WEEKS 9-11 QUESTIONS WITH CORRECT ANSWERS

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The patient 's surgery is completed without complications. After a 2-hour stay in the
post-anesthesia unit, he returns to his room. The next day, the nurse observes the
following vital signs: The patient's heart rate drops from 80 bpm to 65 bpm while
asleep. Oxygen saturation remains greater than 95% with regular respirations of 16 to
20 per minute. Which action should the nurse implement?


a)Increase vital sign monitoring from every 8 hours to every 4 hours.
b)Recommend the application of a cardiac monitor.
c)Contact the HCP about this abnormality.
d)Document these expected assessment findings.

,Give this one a try later!


Document this expected finding.


A decrease of up to 20 bpm during NREM sleep is considered a normal
finding and a part of the body's circadian rhythm.




Using an electronic health record (EHR) efficiently


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Usability




The nurse administered a penicillin medication to a patient and noticed afterwards
that the electronic health record listed penicillin allergy. The patient did not have any
adverse reactions. What level of health care error was committed by the nurse?


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Near miss




The nurse is caring for a postoperative patient. Which documentation would be
needed when an unexpected opioid-related event requires the completion of an
incident report?


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, 1. Original pain medication prescriptionc.
2.Date and time of the incidentd.
3.Name of the nurse who administered the medication




Which information should be included in an ANTICipate hand-off report?


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1.Details about the patient's intubation procedure
2.Planned treatment if the patient's condition worsens
3.Change in the patient's status from "critical" to "serious"




Which nursing actions involve the use of informatics?
Select all that apply.


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1.Assessing and evaluating data
2.Supporting nursing research
3.Delivering informed health care education




In which way can nurses perform effective hand-off reporting?


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Ensure that complete and accurate information is conveyed.

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