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Wgu hesi Information Technology in Nursing Practice
Wgu hesi Information Technology in Nursing Practice
Total Questions : 60
Showing 10 questions Sign up for moreA cancer patient is exhibiting symptoms of a respiratory infection. The nurse needs to place the patient in reverse isolation because the patient le immunocompromised and to prevent the spread of infection Where, within the clinical information system, should the nurse document this information so that other healthcare providers who enter the patient's room will be aware of this precaution?
Explanation
A. The electronic documentation section – This is the appropriate place for documenting precautions like reverse isolation, so all healthcare staff can see the need for protective measures upon entry.
B. The clinical decision support system – This system provides alerts or suggestions based on clinical data, not specifically used to document isolation requirements.
C. The picture archiving and communication system – This system stores medical imaging, not isolation precautions or patient care notes.
D. The physiological monitoring system – This is used for real-time monitoring of vital signs, not for documenting patient isolation precautions.
A patient has been coughing for several weeks and has chest pain, fever, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis. The PA ordered a chest x-ray earlier that day would like to review the results since appropriate infection control and treatment measures need to be taken if the patient is positive.
Where, within the clinical information system, should the PA review the chest x-ray results to verify whether the patient has tuberculosis?
Explanation
A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.
B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.
C. The laboratory information system – This system stores laboratory test results, not imaging reports.
D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.
A patient has symptoms of itching and genital warts. The nurse believes the patient may have human papilloma virus (HPV), which is a sexually transmitted disease. The nurse practitioner orders a pap smear in which a sample is collected and tested for HPV. After a couple of hours, the nurse practitioner wants to check the results so that she can appropriately treat and understand the patient's condition. Where, within the clinical information system, should the nurse practitioner review the pap smear results to verify whether the patient has HPV?
Explanation
A. The radiology information system – This system stores and manages imaging studies, not laboratory tests like a Pap smear.
B. The pharmacy information system – This system is for medication records, unrelated to laboratory test results.
C. The computerized provider order entry system – This system is for entering patient care orders but not for viewing test results.
D. The laboratory information system – Laboratory results, including Pap smear results, are stored here, making it the correct choice.
A patient has a pus-filled lesion on her lower leg accompanied by a fever. The nurse believes the patient may have methicillin-resistant Staphylococcus aureus (MRSA), which can be easily spread through physical contact appropriate personal protective equipment (PPE) is not wain.
Where, within the clinical information system, should the nurse record this precaution to ensure that others will wear the appropriate PPE when interacting with this patient?
Explanation
A. The pharmacy information system – This system is for medication management, not patient isolation or PPE documentation.
B. The electronic documentation section – Isolation precautions are documented here so all healthcare personnel are aware and can use the required PPE.
C. The radiology information system – This is for imaging records, not for documenting infection control measures.
D. The laboratory information system – This system stores lab results, not isolation or PPE documentation.
A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?
Explanation
A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.
B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.
C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.
D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.
A nurse has a patient with a low pulse oxygen level, who is struggling to breathe without a nebulizer. The nurse wants to use a clinical data source to access research studies regarding meta-analyses and systematic reviews
Which clinical data source will provide this type of access?
Explanation
A. Cochrane Database of Systematic Reviews – The Cochrane Database specializes in systematic reviews and meta-analyses, making it the best source for high-quality evidence on healthcare interventions.
B. PubMed – While PubMed provides access to a broad range of medical research, it doesn’t exclusively focus on systematic reviews and meta-analyses.
C. Google Scholar – Google Scholar is a broad search engine that includes a wide range of academic sources but lacks a specific focus on systematic reviews and meta-analyses.
D. Medline – Medline provides access to a wide range of medical literature but, like PubMed, it is not focused on systematic reviews and meta-analyses.
An emergency room nurse has a patient with the flu, whose respiratory rate is wavering and whose body temperature is escalating periodically. The nurse wants to accese a clinical data source that regularly and systematically collects, analyses, and interprets data on infectious diseases to research disease-prevention and control information related to the patient's condition.
Which clinical data source will meet the nurse's needs?
Explanation
A. Surveys – Surveys may collect health-related data but are not typically focused on disease surveillance or providing real-time information on infectious diseases.
B. Vital records – Vital records track birth, death, and health events but are not regularly updated for active infectious disease surveillance.
C. Claims data – Claims data relate to insurance and billing, not specifically disease prevention or control.
D. Surveillance – Disease surveillance systems systematically track and interpret data on infectious diseases to aid in disease control and prevention.
A patient is experiencing sudden bouts of shortness of breath. The physician assistant (PA) wants to use a source of clinical data to collaborate with other healthcare providers in evaluating the patient's fluctuating vital signs. The PA decides to use Wikipedia.com.
Which statement about this source of clinical data is correct?
Explanation
A. It compiles medical information regarding patients by utilizing various sources into one searchable area – This is incorrect, as Wikipedia does not compile patient-specific information. It is a general knowledge platform.
B. It requires a subscription fee to access – This is incorrect; Wikipedia is a free resource.
C. It is not a reliable information source – Wikipedia is not considered a reliable medical source due to potential inaccuracies and the ability for unverified users to edit content.
D. It uses a healthcare-specific browser to narrow search results – This is incorrect, as Wikipedia does not have a healthcare-specific search browser.
A nurse wants to conduct an Internet search because a patient is experiencing vital-sign fluctuations.
Which statement about this source of clinical data is correct?
Explanation
A. The same search terms should be used repeatedly to produce consistent results – This may limit the scope of information and won’t necessarily improve result accuracy.
B. Important keywords should be used to narrow and direct the search – Using specific keywords effectively narrows the search, allowing the user to find relevant information faster.
C. Extraneous terms are used to make the search more diverse – Adding unrelated terms can yield irrelevant results and confuse the search.
D. Words are placed within parentheses to limit the search results – Parentheses are not generally used in search engines to narrow results; quotes are more effective in limiting to exact phrases.
A patient comes to the emergency room complaining of a rapid heart rate. The nurse wants to use an online journal to research abnormally rapid heart rates. What is a downside of using an online journal as a clinical data source?
Explanation
A. Online journals require extra storage space – This is generally not true, as online journals are stored digitally and accessed via the internet.
B. Online journals generally require a subscription to access content – Many reputable online medical journals require a subscription or payment to access full articles, which can limit availability.
C. Online journals offer limited access to graphic images and diagrams – This is generally incorrect, as many online journals include graphics and diagrams in articles.
D. Online journals are not up-to-date due to publishing delays – Most reputable online journals strive to publish current studies, though there may be some delay in publication, this is not a primary downside compared to subscription requirements.
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