A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

Decrease in coordination of client care

Increase of duplicate tests performed on client

Portal that allows clients to interact with providers

Same day access to client health record

Answer and Explanation

The Correct Answer is C

A. Decrease in coordination of client care. Electronic documentation improves, rather than decreases, coordination of care by allowing multiple healthcare providers to access real-time patient information, reducing communication errors and delays.

B. Increase of duplicate tests performed on client. Electronic health records (EHRs) help minimize duplicate testing by providing a comprehensive view of a client’s medical history, including previous tests and results, thereby reducing unnecessary procedures.

C. Portal that allows clients to interact with providers. Many electronic documentation systems include patient portals, enabling clients to schedule appointments, view test results, communicate with providers, and access educational resources, which enhances patient engagement and healthcare transparency.

D. Same-day access to client health record. While EHRs improve accessibility, updates to a client’s health record may depend on documentation workflow and provider input. Some results, such as lab tests, may not be immediately available, making this statement less universally accurate.

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Correct Answer is C

Explanation

A. Center for Medicare and Medicaid Services (CMS). CMS oversees Medicare and Medicaid programs, ensuring access to healthcare for eligible populations. While it enforces healthcare regulations and funding, it does not specifically focus on culturally competent care.

B. Administration for Children and Families (ACF). ACF provides programs for child welfare, early childhood development, and economic support for families. While it promotes social services, its primary focus is not on culturally competent healthcare delivery.

C. Indian Health Service (IHS). IHS is a federal agency responsible for providing healthcare to Native American and Alaska Native populations. It emphasizes culturally competent care by integrating traditional healing practices, addressing health disparities, and ensuring services are tailored to the cultural needs of Indigenous communities.

D. Administration on Aging (AOA). AOA focuses on programs that support older adults, including home- and community-based services. While it promotes equitable care for the aging population, it does not specifically advocate for culturally competent healthcare across diverse groups.

A. Decreased peripheral pulses B. Dilated pupils C. Respiratory rate 10/min D. Heart rate 108/min

Correct Answer is D

Explanation

A. Decreased peripheral pulses. Fever leads to vasodilation and increased cardiac output, which generally enhances peripheral blood flow. As a result, peripheral pulses are more likely to be strong and bounding rather than decreased.

B. Dilated pupils. Pupil dilation is associated with sympathetic nervous system activation, often due to stress, fear, or certain medications. Fever alone does not typically cause pupil dilation, making this an unlikely expected finding.

C. Respiratory rate 10/min. Fever usually increases metabolic demand, leading to a higher respiratory rate (tachypnea) rather than a lower one. A respiratory rate of 10 breaths per minute would be considered bradypnea, which is not a typical response to fever.

D. Heart rate 108/min. Fever stimulates the sympathetic nervous system, increasing heart rate (tachycardia) to meet the body’s higher metabolic and oxygen demands. A heart rate of 108/min is expected in response to a fever of 39°C (102.2°F).

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A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is answering questions at a school meeting about government entities that regulate health care. The nurse should include that which of the following organizations advocates for the delivery of culturally competent health care?

Correct Answer is C

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Correct Answer is D

Explanation

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