Patient record is - Study guides, Class notes & Summaries

[NGN]2023 ATI FUNDAMENTALS PROCTORED EXAM RETAKE (All Questions Correctly Answered) FUNDAMENTALS PROCTORED EXAM RETAKE Page 1 1. A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? A. Changing the dressing for a client who has a stage 3 pressure injury B. Determining a client's response to a diuretic C. Comparing radial pulses for a client who is postoperative D. Providing postmortem care to a client Postmor...

Test Bank For Lehne’s Pharmacology For Nursing Care 10th Edition by Burchum Version 2023 (A+). Chapter 1: Orientation to Pharmacology Test Bank MULTIPLE CHOICE 1. The nurse is teaching a patient how a medication works to treat an illness. To do this, the nurse will rely on knowledge of: a. clinical pharmacology. b. drug efficacy. c. pharmacokinetics. d. pharmacotherapeutics. ANS: D Pharmacotherapeutics is the study of the use of drugs to diagnose, treat, and prevent conditions. Cli...

NSG 3133 Physical Assessment Exam 1 Questions with Verified Solutions ### 1. **Health History and Physical Examination** **What kind of information is gathered during a health history?** Subjective data that offers insights into the patient's current health condition. **What is the focus of a physical examination?** Gathering objective data using various examination techniques. ### 2. **Steps in the Nursing Process** **What are the stages of the nursing process?** 1. As...

Exam 1: NSG318 / NSG 318 (Latest Update 2024 / 2025) Introduction to Pharmacology Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU Question: What do you document after administering a medication/drug? Answer: name of the drug dose route time and date nurse initials or signature Question: Who created the Needlestick Safety and Prevention Act of 2000? Answer: the Occupational Safety and Health Administration (OSHA) Question: What are the two main th...

DD Form 689: Individual Sick Call Slip** correct answer: Used for a patient who requests/receives medical/dental treatment at an Army Medical Treatment Facility (MTF). A commander may choose to allow a soldier to break profile, but then they have to assume 100% risk for the soldier. chain of infetion correct answer: 1) pathogenic microorganism 2) reservoir 3) portal of exit 4) modes of transmission 5) portal of entry 6) susceptible host course of infection correct answer: 1. Incub...

NHA CCMA EXAM | 2023/ 2024 Newly Updated Exam Review | Best Rated Guide Questions and Verified Answers| 100% Correct Q: Discussing a patients medical information is breaking what? Answer: HIPPA guidelines Q: Even if you are related to the patient you are required to have what to obtain medical information? Answer: Consent of the patient Q: The Joint Commission is responsible for what? Answer: Regulates that identifying patients is crucial to improving patient safe...

Who owns the medical record? A. The patient B. The physician C. The health care facility D. The federal government under HIPAA - correct answer C. The health care facility The tool most often used to gather a complete medical record is the: A. Conditions of Admission B. Notice of Privacy Practices C. Master Patient Index D. Information Management Plan - correct answer C. Master Patient Index The Purpose(s) of the medical record is/are: A. To assist in further research and ed...

DD Form 689 Individual sick call slip that initiates the sick call process Used for patient who requests or receives medical/dental evaluation or treatment at an Army Medical Treatment Facility (MTF) used as a means of communication between medical personnel and the patient's commander SF 600 Chronological Record of Medical Care form used to document the chronological record of the patient's treatment Should include: - Date and time of visit - Medical Treatment Facilit...

WGU D220 QUESTIONS WITH CORRECT ANSWERS ALL 328 Q&A (Actual Exam Questions) (Latest Update 2023) 1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgeryANSWER== Provider orders 2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levelsANSWER==MAR 3. A nurse ...