Which of the following is the purpose of an electronic graph, or flow sheet, in a patient's medical record?
To record the patient's demographic information
To record the patient's name, insurance, and next of kin
To record nursing plans and postoperative care
To record vital signs, weight, I&O, and doctor visits
The Correct Answer is D
A. To record the patient's demographic information: Demographic information is recorded in other sections of the medical record, not in a flow sheet.
B. To record the patient's name, insurance, and next of kin: This information is also found in other sections of the medical record, not typically in a flow sheet.
C. To record nursing plans and postoperative care: Nursing plans and postoperative care are documented in different sections, such as care plans or progress notes, not in a flow sheet.
D. To record vital signs, weight, I&O, and doctor visits: Flow sheets or electronic graphs are used to track and visualize ongoing patient data, including vital signs, weight, intake and output (I&O), and doctor visits.
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Correct Answer is A
Explanation
A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.
Correct Answer is C
Explanation
A. CLIA: CLIA regulates lab testing but does not require unique patient identifiers.
B. OSHA: OSHA regulates workplace safety but does not require unique patient identifiers.
C. HIPAA (Health Insurance Portability and Accountability Act): This is correct. HIPAA requires the use of unique identifiers to protect patient privacy and ensure the confidentiality of medical records.
D. CDC: The CDC focuses on public health and disease control, not patient identifiers.