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 D
Explanation
A. Yellow: The yellow tube, used for blood cultures, is typically collected first to prevent contamination.
B. Light blue: The light blue tube is used for coagulation studies and should be collected before tubes containing additives that could interfere with coagulation tests.
C. Red: The red tube, which may contain no additives or a clot activator, is usually collected after the light blue tube.
D. Gray: The gray tube is used for glucose testing and should be filled last as it contains additives that could interfere with other tests if collected earlier.
Correct Answer is B
Explanation
A. Subjective: The subjective section contains information reported by the patient, such as symptoms and experiences, not objective measurements.
B. Objective: Objective measurements, such as vital signs (temperature, pulse, respirations), are documented in the objective section of the health record because they are measurable and observable data.
C. Assessment: The assessment section includes the healthcare provider’s interpretation of the data and diagnosis, not the actual measurements.
D. Plan: The plan section details the proposed treatment or management strategy, not the recorded measurements.