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.

Answer and Explanation

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.

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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.

A. Request a family member to remain with the client. B. Obtain a staff member who is a bilingual interpreter. C. Use drawings that are universal for all cultures. D. Ask for the support of one of the client's friends.

Correct Answer is B

Explanation

Choice A reason: Requesting a family member to remain with the client is not the best intervention to implement first. It may provide some emotional support, but it does not address the communication barrier. The family member may not be able to translate accurately or objectively, and may have their own biases or emotions.

Choice B reason: Obtaining a staff member who is a bilingual interpreter is the best intervention to implement first. It ensures effective communication and understanding between the nurse and the client. It also respects the client's cultural and linguistic preferences and needs.

Choice C reason: Using drawings that are universal for all cultures is not the most effective intervention to implement first. It may be helpful for some simple concepts, but it may not convey the full meaning or context of the assessment. It may also be misinterpreted or misunderstood by the client.

Choice D reason: Asking for the support of one of the client's friends is not the most appropriate intervention to implement first. It may violate the client's privacy and confidentiality, and may not ensure accurate or unbiased translation. The friend may not be familiar with the medical terminology or the client's condition.

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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?

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