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 C
Explanation
A. Apply the patch with sterile gloves. Sterile gloves are not required when applying a transdermal patch; clean, non-sterile gloves are sufficient to avoid contamination.
B. Apply the new patch in the same location as the old one. Transdermal patches should be rotated to different sites to avoid skin irritation, so applying the new patch in the same location is not recommended.
C. Write the date and time on the patch with each application. Writing the date and time on the patch is essential for tracking when the patch was applied and when it needs to be changed, making this the correct action.
D. Reinforce damaged patches with adhesive tape. Damaged patches should not be reinforced with tape, as this could alter the drug's delivery. Instead, the patch should be replaced.
Correct Answer is A
Explanation
A. Blood vessel constriction: Epinephrine is a vasoconstrictor, meaning it causes blood vessels to narrow, which increases blood pressure and is often used in emergency situations like anaphylaxis.
B. Calming effect: Epinephrine does not have a calming effect; it stimulates the fight-or-flight response, increasing heart rate, blood pressure, and alertness.
C. Decrease in blood pressure: Epinephrine increases blood pressure by causing vasoconstriction, not a decrease.
D. Pain control: Epinephrine is not used for pain control; it is used to treat severe allergic reactions, asthma attacks, and cardiac arrest.