The nurse is entering prescriptions for lab work in a client's electronic medical record (EMR) when the system locks up and does not restart. Which action should the nurse take first?
Print electronic medical record (EMR) from backup server.
Notify information services department of the situation.
Identify information as late entry in the record.
Wait for notification that the system has been rebooted.
The Correct Answer is B
Choice A reason: Printing electronic medical record (EMR) from backup server is not the best action to take first. It may not be possible or feasible to access the backup server if the system is down. It may also delay the communication and delivery of the prescriptions to the lab.
Choice B reason: Notifying information services department of the situation is the best action to take first. It alerts the experts who can troubleshoot and fix the problem as soon as possible. It also allows the nurse to obtain guidance on how to proceed with the documentation and prescriptions.
Choice C reason: Identifying information as late entry in the record is a relevant action to take, but not the first one. It ensures the accuracy and completeness of the EMR, but it does not address the immediate issue of the system failure. The nurse may not be able to enter the information until the system is restored.
Choice D reason: Waiting for notification that the system has been rebooted is not a proactive action to take first. It may waste valuable time and compromise the client's care. The nurse should not assume that the system will be rebooted automatically or quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: To avoid pain-causing activity is not the best outcome statement for the nurse to include in this client's plan of care. It does not address the problem of activity intolerance, but rather reinforces the client's refusal to ambulate. It may also delay the client's recovery and increase the risk of complications.
Choice B reason: To take analgesics as prescribed is a relevant outcome statement for the nurse to include in this client's plan of care, but not the best one. It may help to reduce the client's pain and improve his comfort, but it does not directly measure the client's activity tolerance or mobility.
Choice C reason: To show evidence of incision healing is an important outcome statement for the nurse to include in this client's plan of care, but not the best one. It indicates the client's progress and recovery from surgery, but it does not reflect the client's activity intolerance or pain level.
Choice D reason: To ambulate without discomfort is the best outcome statement for the nurse to include in this client's plan of care. It addresses the problem of activity intolerance related to pain, and the goal of increasing the client's mobility and function. It also implies that the client's pain is well-managed and his incision is healing.
Correct Answer is A
Explanation
Choice A reason: Using simulation activities is the most useful action for the nurse to include during the teaching session. It allows the clients to practice and apply their problem-solving skills in realistic and relevant scenarios. It also enhances their motivation, engagement, and feedback.
Choice B reason: Offering positive reinforcement is a helpful action for the nurse to include during the teaching session, but not the most useful one. It can increase the clients' confidence and self-efficacy, but it does not directly teach them how to solve problems.
Choice C reason: Incorporating verbal analogies is a creative action for the nurse to include during the teaching session, but not the most useful one. It can help the clients to understand complex or abstract concepts by relating them to familiar or simpler ones, but it does not necessarily improve their problem-solving skills.
Choice D reason: Providing physical demonstrations is a clear action for the nurse to include during the teaching session, but not the most useful one. It can show the clients how to perform a specific task or procedure, but it does not encourage them to think critically or independently.
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