1. A nurse is using an electronic health record (EHR)

system to document the care of a patient with chronic

obstructive pulmonary disease (COPD). The nurse

notices that the system has a clinical decision support

(CDS) tool that provides evidence-based guidelines for

managing COPD. What is the best way for the nurse to

use this tool?

a) Follow the guidelines exactly as they are presented

in the CDS tool.

b) Compare the guidelines with the patient's

preferences and values and make adjustments as

needed.

c) Ignore the guidelines and rely on the nurse's own

clinical judgment and experience.

d) Consult with the physician or other members of the

interdisciplinary team before applying the guidelines.

Answer: B. The nurse should use the CDS tool as a

source of information, but not as a substitute for

critical thinking and patient-centered care. The nurse

should compare the guidelines with the patient's

preferences and values and make adjustments as

needed to provide individualized care.

2. A nurse is working in a hospital that has

implemented a computerized provider order entry

(CPOE) system. The nurse receives an order from a

physician to administer a medication to a patient. The

nurse notices that the order has a red flag indicating a