A facility is planning to implement an update to the electronic health record. This update is designed to facilitate documentation of critical changes in clients' condition to save time that nurses spend when documenting these changes. How could this information be used best if the nurse informaticist set the system up correctly?

Security and Privacy

Gamification

Data Analytics

Copy and Paste

Answer and Explanation

The Correct Answer is C

A. Security and Privacy: While security and privacy are critical in electronic health records (EHR), they do not directly relate to improving documentation efficiency. Security measures protect client data from unauthorized access but do not necessarily enhance the speed of documentation.

B. Gamification: Gamification involves using game-like elements (e.g., rewards, challenges) to engage users. While it may be useful in staff training, it does not directly facilitate documentation of critical changes in client conditions.

C. Data Analytics: Data analytics helps in tracking trends, identifying high-risk patients, and improving documentation efficiency. By setting up real-time alerts and decision-support tools, the system can assist nurses in capturing critical changes efficiently.

D. Copy and Paste: While copy-and-paste functionality can save time, it is often discouraged in healthcare documentation due to the risk of carrying forward outdated or inaccurate information.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Protective prone: The prone position (lying on the stomach) does not allow easy enema administration and is not recommended.

B. Left lateral recumbent: The left lateral position allows gravity to assist with enema administration and helps the fluid move efficiently through the colon.

C. High Fowler's: Sitting upright does not promote proper enema flow, making it ineffective.

D. Dorsal recumbent: Lying on the back does not facilitate enema administration effectively.

A. "Patient with complaints of urinary incontinence." B. "Patient reports urinary retention." C. "Patient reports urinary frequency." D. "Patient has an enlarged prostate."

Correct Answer is B

Explanation

A. "Patient with complaints of urinary incontinence." The patient did not report involuntary leakage of urine, which defines incontinence.
B. "Patient reports urinary retention." Urinary retention refers to the inability to completely empty the bladder, which matches the patient's description.
C. "Patient reports urinary frequency." Urinary frequency means voiding frequently (e.g., every 1-2 hours), but the patient described difficulty emptying.
D. "Patient has an enlarged prostate." While an enlarged prostate (BPH) could cause retention, the nurse should not diagnose—only report symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is on bed rest and an enema has been ordered. In what position should the nurse position the client?

Correct Answer is B

Explanation

During a health history interview, a client tells the nurse that they do not feel that they completely empty the bladder when they void. How would the nurse report this findings to the provider?

Correct Answer is B

Explanation

A patient lives in a rural area and requires frequent appointments related to their health condition. Which of the following interventions should the nurse facilitate?

A nurse is preparing to bathe a client with dyspnea. Which of the following actions should the nurse plan to take?

A client with a viral upper respiratory infection tells the nurse, "I am so angry because the nurse practitioner would not give me any antibiotics." What would be the most appropriate response by the nurse?

The nurse is providing care to a patient who has tested positive for tuberculosis. The patient is moved into an airborne isolation room and the patient asks. "Why do I need to be moved into this new room?" How should the nurse respond?

The nurse is attempting to develop a therapeutic nurse-client relationship with a newly admitted client. What expectations does the nurse have when developing the relationship?

A student nurse is assigned a patient to provide care for throughout the day. Which of the following actions would violate client confidentiality?

A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements would be best for the nurse to make?