A nurse manager is reviewing the benefits of electronic health records (EHRS) with a newly licensed nurse. The nurse manager should identify that which of the following acts provides reimbursement incentives for facilities that use EHRs?

Health Information Technology for Economic and Clinical Health Act

Affordable Care Act

Balanced Budget Act

Health Insurance Portability and Accountability Act

Answer and Explanation

The Correct Answer is A

A. Health Information Technology for Economic and Clinical Health Act: This is correct. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides financial incentives for healthcare facilities to adopt and use electronic health records (EHRs) meaningfully.
B. Affordable Care Act: This act focuses on expanding healthcare coverage and affordability, not specifically on incentives for using EHRs.
C. Balanced Budget Act: This act primarily addresses budgetary issues and Medicare payments, not EHR incentives.
D. Health Insurance Portability and Accountability Act: HIPAA focuses on protecting patient privacy and securing health information, but it does not provide reimbursement incentives for EHR use.

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Correct Answer is C

Explanation

A. Remove clean gloves and apply sterile gloves: This step is important to prevent contamination but is not the first step.
B. Place the swab in the culture tube: This is the final step in the process, not the first.
C. Irrigate the wound with 0.9% sodium chloride: The first step before collecting a wound culture is to irrigate the wound with sterile 0.9% sodium chloride (normal saline) to remove surface debris, which could contain contaminants rather than the actual infectious organisms. This ensures a more accurate specimen by collecting bacteria from the wound bed rather than from surface contaminants.
D. Rotate the swab over the sides of the wound: This step is performed after irrigating the wound and wearing sterile gloves.

A. Cleanse the urethral meatus. B. Apply sterile gloves. C. Attach the pre-filled syringe to the inflation bulb. D. Saturate the cotton balls with antiseptic.

Correct Answer is B

Explanation

A. Cleanse the urethral meatus. This step occurs after preparing the sterile field and donning sterile gloves.
B. Apply sterile gloves. This is correct. The first step in the standardized procedure is to apply sterile gloves to maintain aseptic technique throughout the catheter insertion process.
C. Attach the pre-filled syringe to the inflation bulb. This step is part of the preparation but comes after the sterile gloves are applied.
D. Saturate the cotton balls with antiseptic. This step occurs after donning sterile gloves.

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A nurse manager is reviewing the benefits of electronic health records (EHRS) with a newly licensed nurse. The nurse manager should identify that which of the following acts provides reimbursement incentives for facilities that use EHRs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting a culture specimen from a client's nonhealing wound. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following steps of the standardized procedure should the nurse plan to take first?

Correct Answer is B

Explanation

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A nurse is preparing to administer 0.9% sodium chloride 250 mL. IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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