A nurse is using an electronic health record (EHR) system with clinical decision support tools while caring for a client with multiple chronic conditions. Which action best demonstrates the nurse applying these tools to improve client safety and outcomes?
Relying solely on clinical judgment without consulting EHR alerts and guidelines.
Manually entering all client data into paper charts to ensure accuracy.
Reviewing alerts for potential medication interactions before administering drugs to the client.
Delaying documentation until the end of the shift to focus on direct client care.
The Correct Answer is C
Rationale:
A. Relying solely on clinical judgment without consulting EHR alerts and guidelines is incorrect because while clinical judgment is essential, ignoring EHR decision support tools can increase the risk of errors, particularly with clients who have multiple chronic conditions and complex medication regimens.
B. Manually entering all client data into paper charts to ensure accuracy is incorrect because this is redundant and time-consuming, and it does not leverage the safety features of the EHR. Manual charting alone does not prevent medication errors or flag potential risks.
C. Reviewing alerts for potential medication interactions before administering drugs to the client is correct because it demonstrates effective use of clinical decision support tools. These tools help the nurse identify drug interactions, allergies, dosage errors, and contraindications, enhancing patient safety and improving outcomes by preventing adverse events.
D. Delaying documentation until the end of the shift to focus on direct client care is incorrect because timely documentation is crucial for accurate communication, continuity of care, and real-time decision-making. Delaying documentation can result in omissions, errors, or missed alerts from the EHR.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,D,A,F,B,E
Explanation
Rationale:
- Assess the client's airway (C) – The first priority is always airway assessment, especially when the client presents with symptoms of anaphylaxis (hoarseness, lip/tongue swelling) that can rapidly progress to airway obstruction. According to the ABC framework (Airway, Breathing, Circulation), airway compromise is life-threatening and requires immediate evaluation.
- Call the emergency response team (D) – Activating the emergency team ensures rapid access to additional resources and support for anaphylactic management, including advanced airway interventions and medications. Early team involvement is crucial in preventing deterioration.
- Apply high-flow oxygen (A) – Once the airway is assessed and help is summoned, administering high-flow oxygen supports oxygenation and tissue perfusion, addressing potential hypoxia caused by airway edema or bronchospasm.
- Initiate IV access (F) – Establishing IV access provides a route for rapid medication administration and fluid resuscitation, which is critical in anaphylaxis for both epinephrine delivery and hypotension management.
- Administer IV epinephrine (B) – Epinephrine is the first-line treatment for anaphylaxis. It should be given promptly via the IV or intramuscular route once IV access is established, to reverse airway edema, bronchospasm, and hypotension.
- Administer IV antihistamines (E) – Antihistamines help control ongoing histamine-mediated symptoms, such as urticaria and pruritus, but are adjunctive therapy and should not delay epinephrine administration.
Correct Answer is ["2"]
Explanation
Total daily dose: 2 grams = 2000 mg
Given every 6 hr → 4 doses/day
Dose per administration = 2000 mg ÷ 4 = 500 mg per dose
Available: 250 mg per capsule
Number of capsules per dose = 500 ÷ 250 = 2 capsules
Final Answer: 2 capsules
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