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. Allowing a period of rest before feeding is not a standard practice for individuals at risk for aspiration and may not address the underlying issues related to dysphagia or aspiration risk. A, C, D- are appropriate positions during feeding for clients with stroke to prevent choking/aspiration.

A. Explain that alternative treatment options may be helpful. B. Remind the spouse that the client may still live a long time. C. Offer reassurance that the spouse is not alone. D. Encourage the spouse to share their feelings.

Correct Answer is C

Explanation

C. The first action the nurse should take is to offer reassurance to the spouse that they are not alone. This statement acknowledges the spouse's emotional distress and provides comfort and support during a difficult time. It also validates the spouse's feelings of loneliness and acknowledges the importance of their presence and support for the client.

A and B focus on the client's illness or prognosis, which may not be the immediate concern for the spouse at this moment.

D, while valuable, may come after the initial reassurance to create a supportive environment for the spouse to share their feelings when they feel ready.

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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 observes an unlicensed assistive personnel (UAP) feeding a client who had a cerebral vascular accident (CVA) and is at risk for aspiration. Which action by the UAP should the nurse recognize indicates the need for additional teaching?

Correct Answer is B

Explanation

A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse, "I feel as if I'm already so alone." Which action should the nurse take first?

Correct Answer is C

Explanation

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