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A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?

A.

The clinical decision support system

B.

The electronic documentation section

C.

The physiological monitoring system

D.

The laboratory information system

Answer and Explanation

The Correct Answer is D

A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.

 

B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.

 

C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.

 

D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.


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Correct Answer is D

Explanation

A. Risk-management system. – This system focuses on identifying and mitigating risks in healthcare but does not provide discharge timing information.

B. Electronic documentation. – While it contains patient information, it does not directly provide an overview of discharge timing unless explicitly documented by staff.

C. Financial system. – This system manages billing and financial data but does not track or provide information on patient discharge timelines.

D. Admission/discharge/transfer system. – This system manages patient flow, including admissions, discharges, and transfers, and would provide the most accurate and up-to-date information regarding the anticipated discharge time for a patient.

Correct Answer is C

Explanation

A. Query-based exchange. – Query-based exchange allows providers to search for and retrieve patient information but is typically provider-centered, not allowing patients direct control.

B. Clinical decision support. – Clinical decision support is a tool for improving provider decisions and does not give patients direct access to correct or control their records.

C. Consumer-mediated exchange. – Consumer-mediated exchange empowers patients to manage their own health information, including reviewing and correcting their billing and health records.

D. Evidence-based practice (EBP). – EBP is related to healthcare decision-making based on evidence but does not involve patient-controlled access to health records.

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