Which statement by the nurse accurately reflects a benefit of installing a new electronic medical record system?

"I won't have to worry about reading the doctor's messy handwriting anymore.”.

"It will likely reduce the time spent on manual documentation.”.

"I am thankful that I won't have to keep changing my passwords all the time.”.

"I'll be able to see my son's medical record using my password and user ID.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While electronic medical record (EMR) systems aim to improve legibility by using standardized digital documentation, they do not entirely eliminate the need to interpret physician notes or other entries. There may still be instances where clarification or interpretation is required.

Choice B rationale

A significant benefit of implementing an EMR system is the potential to streamline documentation processes. Electronic charting can reduce the time nurses spend on manual tasks such as handwriting notes, transcribing orders, and locating paper records, thereby improving efficiency.

Choice C rationale

Password management and security protocols are often a necessary component of electronic systems to protect patient privacy and data integrity. Implementing a new EMR system may involve changes to password policies and frequency of updates, which could be a source of frustration rather than a benefit.

Choice D rationale

Access to a family member's medical record, even a child's, raises significant privacy and security concerns. Healthcare systems have strict regulations (e.g., HIPAA) to protect patient confidentiality, and nurses typically do not have unrestricted access to family members' records.

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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. Nursing regulations do not allow these care tasks to be delegated to unlicensed personnel. B. The nurse identifies the patient care areas in which additional assistance is required. C. The nurse realizes the potential for pressure injuries and acts to prevent their development. D. The nurse is following the standing orders listed in the patient's medical record.

Correct Answer is C

Explanation

Choice A rationale

While nursing regulations do outline standards of care, the primary rationale for frequent repositioning and padding is not solely based on delegation limitations. Preventing pressure injuries is a fundamental nursing responsibility, regardless of who performs the tasks under appropriate supervision.

Choice B rationale

Identifying patient care areas needing additional assistance is a separate aspect of nursing assessment and care planning. While repositioning and padding contribute to overall well-being, their direct rationale is the prevention of skin breakdown, not the identification of staffing needs.

Choice C rationale

Unconscious patients are at high risk for developing pressure injuries due to immobility and decreased sensation. Repositioning at least every two hours reduces prolonged pressure on bony prominences, and padding distributes pressure more evenly, both crucial interventions in preventing tissue ischemia and subsequent ulcer formation.

Choice D rationale

While standing orders may include guidelines for repositioning and skin care, the underlying rationale stems from the physiological need to prevent pressure injuries in immobile patients. The nurse's actions are based on established principles of preventing complications associated with immobility, not solely on following pre-written orders. .

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Which statement by the nurse accurately reflects a benefit of installing a new electronic medical record system?

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

The nurse is caring for an unconscious patient.The nurse repositions the patient at least every 2 hours and ensures that all of the patient's bony prominences are padded.What is the rationale for these actions?

Correct Answer is C

Explanation

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