1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - The medication administration record and the nursing assessment notes
from the last shift indicate the patient's level of comfort.
1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain?
- Physician orders
1. A patient completes the course of treatment for tuberculosis and is ready to be discharged home.
Which instructions should be included in the patient's discharge education? - Importance of completing
the medication prescribed.
1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on auscultation.
Which data set in the medical record informs the decision to implement the ineffective airway clearance
nursing care plan? - The radiology report impression indicates pulmonary infiltrates and the nursing
assessment indicates a decrease in respirations.
1. The health administrator at a clinic observes an increase in the number of patients with a complaint of
difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will
provide a cross-reference to the impacted patient population? - Patient demographic records
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