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?
The clinical decision support system
The electronic documentation section
The physiological monitoring system
The laboratory information system
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 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.
Correct Answer is C
Explanation
A. A nursing department determining staffing levels. – While a gap analysis could theoretically be used to assess staffing needs, it is more commonly applied to evaluate broader strategic gaps rather than specific resource allocation like staffing levels.
B. A nursing director conducting focus group interviews with five nurses. – Focus groups can be part of data collection, but they don’t constitute a full gap analysis, which requires a more structured assessment to compare current versus desired states.
C. A nursing director evaluating needs prior to transitioning to a new EHR. – A gap analysis is used here to assess current system capabilities versus the requirements for the new EHR, helping to identify what resources, training, or systems are needed for the transition.
D. A nursing leader observing nurses as they work. – Observation can inform a gap analysis but, on its own, does not constitute a complete analysis of needs or gaps in the current state versus future requirements.