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A patient has been coughing for several weeks and has chest pain, fever, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis. The PA ordered a chest x-ray earlier that day would like to review the results since appropriate infection control and treatment measures need to be taken if the patient is positive. Where, within the clinical information system, should the PA review the chest x-ray results to verify whether the patient has tuberculosis?

A.

The pharmacy information system

B.

The radiology information system

C.

The laboratory information system

D.

The clinical decision support system

Answer and Explanation

The Correct Answer is B

A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.

 

B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.

 

C. The laboratory information system – This system stores laboratory test results, not imaging reports.

 

D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.


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Correct Answer is D

Explanation

A. The hospital should program the computers to require two-factor authentication when logging in to the protected health information system. – Two-factor authentication strengthens security by requiring an additional form of verification. However, it doesn't directly prevent the issue of leaving accounts logged in or saving passwords.

B. The hospital should install anti-virus software on all the computers. – Anti-virus software protects against malware but does not address issues related to account security or auto-login risks.

C. The hospital should program the computers to automatically log each employee in and out of the protected health information system. – Automatically logging users in and out sounds efficient but could create privacy issues if left unattended.

D. The hospital should remove the option to allow employees to save their login credentials on all the computers. – Disabling the option to save login credentials would prevent the next user from accessing a previous user’s account, directly addressing the issue of unintended access when one user leaves a station.

Correct Answer is C

Explanation

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.

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