Which patient's needs must be addressed first by the nurse?

The patient who is nauseated and vomiting after receiving narcotic pain medication.

The constipated patient who needs to use the toilet after receiving a laxative.

The patient who is waiting for discharge teaching in order to go home.

The patient with chest pain and shortness of breath after two doses of sublingual nitroglycerin.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Nausea and vomiting after narcotic pain medication, while uncomfortable, are often expected side effects. The nurse should address these symptoms with antiemetics or other comfort measures, but this is generally not the highest priority unless the vomiting is severe or leads to dehydration or electrolyte imbalance.

Choice B rationale

A constipated patient needing to use the toilet should be assisted promptly for comfort and to prevent further complications. However, this need is generally not life-threatening and can usually be addressed after more urgent issues.

Choice C rationale

A patient waiting for discharge teaching is important, but discharge planning can typically be done once the patient is stable and other immediate needs are addressed. While timely discharge is a goal, it is not the priority when a patient is experiencing acute distress.

Choice D rationale

Chest pain and shortness of breath after nitroglycerin administration are signs of potential serious cardiovascular or respiratory compromise. Nitroglycerin should relieve chest pain; if it persists or worsens with shortness of breath, it could indicate worsening angina, myocardial infarction, or an adverse reaction to the medication. This situation requires immediate assessment and intervention as it poses an immediate threat to the patient's well-being.

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Correct Answer is C

Explanation

Choice A rationale

Signing on with a password authenticates the user and allows them to enter information, but it does not prevent someone with the same password or unauthorized access from altering previously entered data. Passwords control who can access the system, not what they can do once logged in.

Choice B rationale

Charting in privacy ensures confidentiality while the nurse is documenting, preventing unauthorized individuals from viewing the information as it is being entered. However, it does not prevent authorized users from later altering the data.

Choice C rationale

Logging off the electronic documentation system after each entry is crucial for preventing unauthorized access and alterations. Once logged off, the nurse's session is closed, requiring a new login to make any changes, thus ensuring accountability for each entry.

Choice D rationale

Charting in code or using abbreviations can help maintain patient privacy to some extent but does not inherently prevent alteration of the information once it has been entered into the system. Codes can be understood by those with access. \

A. Increased technology awareness. B. Facilitation of effective communication. C. Frequent technology updates needed. D. Required system changes.

Correct Answer is B

Explanation

Choice A rationale

Increased technology awareness might be a consequence of EHR implementation, but it is not a primary advantage in terms of direct impact on patient care or healthcare delivery efficiency. The focus is on leveraging technology for improved outcomes.

Choice B rationale

EHRs facilitate seamless information sharing among healthcare providers, reducing reliance on paper-based records and improving coordination of care. This enhanced communication can lead to better-informed decision-making, reduced errors, and improved patient safety and outcomes.

Choice C rationale

The need for frequent technology updates can be a challenge associated with EHRs, requiring ongoing investment of time and resources for maintenance and training. This is a potential drawback rather than an advantage of electronic systems.

Choice D rationale

Required system changes, such as upgrades or modifications, can be disruptive and demand significant effort from healthcare organizations. While necessary for maintaining system functionality, they are not considered an inherent advantage of using EHRs.

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Which patient's needs must be addressed first by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When using electronic (or computerized) documentation, which process should the nurse use to ensure that no one alters the information the nurse has entered?

Correct Answer is C

Explanation

A nurse is discussing the advantages and challenges of electronic health records (EHRS) with a newly licensed nurse.Which of the following should the nurse include as an advantage?

Correct Answer is B

Explanation

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