Author Question: Which action indicates the nurse is functioning as a knowledge worker? 1. The nurse auscultates ... (Read 62 times)

Caiter2013 · **on:** Jul 7, 2018

Which action indicates the nurse is functioning as a knowledge worker?

1. The nurse auscultates hypoactive bowel sounds while doing a client assessment eight hours postoperatively after abdominal surgery and documents the assessment in the electronic medical record.
2. The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic medical administration record.
3. The nurse auscultates diminished breath sounds in a postoperative client the morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of every two hours.
4. The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040 ml and the output of 1100 ml, and records these data in the electronic medical record.

Question 2

Describe at least three factors in the current healthcare delivery system that drive the implementation of information technology in the acute care setting.

1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice

jomama · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

3
Rationale: Your chosen response is an example of gathering assessment data and recording same in the EMR. The nurse as knowledge worker interprets and structures clinical data into information that can then be used to aid clinical decision making and patient monitoring over time. In the auscultation with diminished breath sounds choice, the nurse compared the data to the knowledge that the client may be developing atelectasis, and acted upon this by having the client turn, cough, and deep breathe more frequently than the standard practice of every two hours.

Answer to Question 2

4
Rationale: Patient safety, nursing shortage, managed care, and evidenced based practice are all factors that impact the acceptance and implementation of information technology in the acute care setting.