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. Speak in a neutral tone: Using a neutral tone helps de-escalate the situation and shows that you are calm and professional, which can help soothe an angry patient.
B. Speak louder than the patient: Speaking louder can escalate the situation further and increase the patient’s frustration.
C. Disregard the patient's mood: Disregarding the patient’s mood can make them feel ignored and may worsen their anger.
D. Ask the patient to reschedule: Asking the patient to reschedule may be appropriate in some cases but does not address the immediate issue of handling their anger effectively.
Correct Answer is C
Explanation
A. Alternating current (AC) interference: AC interference is caused by electrical equipment near the EKG machine and appears as uniform, small, rapid spikes. It is not caused by patient movement.
B. Arrhythmia: An arrhythmia refers to an abnormal heart rhythm and is related to cardiac function, not patient movement.
C. Somatic tremor: Somatic tremor is caused by voluntary or involuntary muscle movement, such as a patient moving their arm, which creates artifact on the EKG tracing that appears as irregular, erratic spikes.
D. Interrupted baseline: An interrupted baseline occurs when the electrical connection is lost, often due to a lead falling off, not due to patient movement.