Which information in an electronic health record (EHR) would help a nurse plan the care for a patient with chronic obstructive pulmonary disease (COPD)?
Anesthesia record
Intake and output record
Complete health history
Radiology report
The Correct Answer is C
A. Anesthesia record – This is not relevant for COPD care planning as it pertains to surgical procedures rather than respiratory conditions.
B. Intake and output record – While this record can provide useful information, it does not specifically address the management of chronic obstructive pulmonary disease.
C. Complete health history – A complete health history includes information on the patient’s past and current health status, which is crucial for planning appropriate care for COPD management.
D. Radiology report – Although radiology reports can provide useful diagnostic information, the complete health history offers a broader view necessary for comprehensive care planning.
Nursing Test Bank
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Related Questions
Correct Answer is B
Explanation
A. Electronic documentation. – While this system contains patient records, it may not specifically track prescription delivery schedules or timelines.
B. Computerized provider order entry. – This system is used to manage medication orders, including details about prescriptions and their delivery status, making it the appropriate choice to check the delivery timeframe.
C. Quality assurance. – This system focuses on evaluating quality and compliance but does not provide specific information on prescription delivery.
D. Results-reporting. – This system primarily manages the reporting of test results and does not handle prescription information or delivery schedules.
Correct Answer is D
Explanation
A. Consumer-mediated exchange. – This exchange allows patients to control their own data sharing, not typically used for provider-to-provider data transfer.
B. Clinical decision support. – Clinical decision support provides providers with tools for better decision-making based on patient data but does not manage care summaries or patient selection notifications.
C. Evidence-based practice (EBP). – EBP refers to integrating clinical expertise with the best available evidence but is not a system for transferring care summaries.
D. Directed exchange. – Directed exchange enables secure, direct transmission of care summaries and other health information between providers, making it suitable for notifying specialists and coordinating patient care.
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