Essentials of Health Information Management: Principles and Practices (MindTap Course List)
4th Edition
ISBN: 9781337553674
Author: Mary Jo Bowie
Publisher: Cengage Learning
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You are a nurse providing care for a young woman who was involved in a motor vehicle accident. She is brought to your emergency department via ambulance, where your trauma team is in the midst of examining and assessing her. From the initial assessment, her vital signs are measured; she is unconscious with shallow breathing, exhibits several abrasions, is bleeding from a wound in her left thigh, and moans frequently. An intravenous line has been started in her right antecubital vein and normal saline is infusing. (Learning Objective 5)
a. Where would you expect to document this information?
b. Which topics in the narrative would you expect to be included in proper documentation?
c. Which type or model of documentation best suits this type of information?
d. What important type of thorough information is missing in the case study?
e. Itemize the additional information that should be included.
f. What are the benefits of an electronic medical record (EMR) for a patient…
Name two techniques a nurse can use to reduce a patient's anxiety when preparing for venipuncture?
The practical nurse (PN) observes a newly hired PN who is preparing to open an ampule as seen in the picture. Which action should the PN take?
Call the charge nurse to the medication room to assist the newly hired PN with the ampule.
Take the ampule from the newly hired PN and demonstrate how to safely open the ampule.
Advice the newly hired PN to continue with by gently snapping the ampule open
Advise the newly hired PN to reposition the alcohol pad around the neck of the ampule.
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- The client is a 4-year-old who was injured while swimming in the family pool. The client's mother reports that she attempted to help the child out of the pool by pulling up on his arms. Afterward, the child was inconsolably crying and unable to move his left arm. The mother immediately brought him to the pediatric emergency clinic. No swelling is noted to the left arm, but the child is clearly in pain and anxious. Potential Conditions You can only pick one potential condition from the following choices Writs Fracture Elbow Dislocation Osteogenesis imperfecta Juvenile Idiopathic Arthritis You can only pick 4 actions the PN should take from the following options? Supinate and flex the forearm Draw blood for a complete blood count Notify the police of a suspicious injury Apply a tourniquet Provide pain medicationarrow_forwarda fair-skinned client who is an avid runner is diagnosied with malignant melanoma, which is located on the lateral surface of the lower leg. After wide margin reaction, the nurse provides discharge teaching. it is most important for the nurse to emphasizee the need to observe for changes in which characteristicarrow_forwardGowns should be worn when contact with blood or bodily fluid is likely Question options: True Falsearrow_forward
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