The nurse is entering a client's presenting problem when the computer documentation system freezes in the emergency department. Which action should the nurse perform first?

Wait for notification that the system has been rebooted.

Identify information as late entry in the record.

Notify information services department of the situation.

Print electronic medical record (EMR) from backup server.

Answer and Explanation

The Correct Answer is C

C. When the computer documentation system freezes, the first action the nurse should take is to notify the information services department of the situation. This allows the IT professionals to address the issue promptly and work on resolving the problem with the computer system.

A. Waiting for the system to reboot may lead to delays in documenting important patient information and could potentially affect the continuity of care. It's important to address the situation promptly to minimize any disruptions in patient care.

B. If the documentation system is unavailable for an extended period, identifying information as a late entry may be necessary to ensure that it is accurately recorded in the patient's record.

However, this should not be the first action taken, as there may be other immediate steps to address the situation.

D. While having a backup EMR is essential, printing it may not be the immediate solution. The focus should be on resolving the system freeze rather than relying solely on a printed backup.

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Correct Answer is B

Explanation

B. If the tip of the urinary catheter reemerges from the insertion site during insertion, it means that the catheter has become contaminated with microorganisms from the urethra or surrounding area. Continuing to insert the same catheter can introduce these microorganisms into the urinary tract, increasing the risk of urinary tract infection (UTI).

A. Increasing the lighting in the room allows for optimal visualization during the procedure, but it is not the priority action when the catheter has become contaminated.

C. Cleaning the catheter with providone-iodine is not sufficient to sterilize the catheter and eliminate the risk of introducing pathogens into the urinary tract.

D. Repositioning the legs before reinsertion does not address the contamination of the catheter and does not mitigate the risk of introducing pathogens into the urinary tract.

A. Placing a client in restraints without having a healthcare provider's order. B. Informing a client that the medication being administered is a vitamin. C. Enlisting security personnel to assist with restraining the client. D. Administering the medication to a client behind a closed curtain.

Correct Answer is A

Explanation

A. A tort is a civil wrong that causes harm to another individual, and placing a client in restraints without having a healthcare provider's order is an example of a tort called false imprisonment.
B. Informing a client that the medication being administered is a vitamin. Providing false information about the nature of the medication could lead to harm or prevent the client from making an informed decision about their care. However, it does not constitute a tort

C. Enlisting security personnel to assist with restraining the client is not inherently a tort.

D. Administering medication behind a closed curtain may raise concerns about privacy and confidentiality, but it does not inherently constitute a tort.

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The nurse is entering a client's presenting problem when the computer documentation system freezes in the emergency department. Which action should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is inserting a urinary catheter that has been prescribed for the client. When the tip of the catheter reemerges from the insertion site, which action should the nurse take next?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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