The nurse is visiting the home of the client in response to the ...

[michelleunicorn]

The nurse is visiting the home of the client in response to the client's blood pressure, which has risen to 196/102. The home health care nurse has lost wireless connection to the Internet because the client lives in a rural area.
 
  What is a consequence of the lack of access to the Internet?
  1. The nurse will be unable to assist the ambulance personnel as they try to navigate their way to the client's house.
  2. The nurse will be unable to access the National Institutes of Health hypertension treatment guidelines.
  3. The nurse will be unable to charge the client the appropriate amount for providing treatment.
  4. The nurse's manager will be unable to use the client's information in a research study about hypertension.

Question 2

The nurses are discussing the recent sighting of a tornado in their small community, and how the health care organization could be affected. In which of the following ways could nursing informatics be useful in this situation? Select all that apply.
 
  1. Telehealth could be utilized to help diagnose and treat victims of a natural disaster.
  2. All volunteers, regardless of medical training, will be able to quickly understand how to use nursing informatics to help victims.
  3. After victims are identified, the electronic health record could be accessed to help discover pre-existing conditions that might be helpful to understand prior to planning treatment modalities.
  4. Online clinical practice guidelines could be accessed to ensure proper treatment of victims.
  5. Nursing informatics provides easily used security measures to prevent people from looking at unauthorized data from electronic health records.

[Zack0mack0101@yahoo.com]

Answer to Question 1

Answer: 2

Rationale: The nurse has lost the ability to access the Internet via a wireless connection. The nurse should be able to summon an ambulance with a landline telephone. The nurse will be unable to access the guidelines from the National Institutes of Health regarding hypertension treatment. The nurse should still be able to charge for supplies used in stabilizing or treating the client. This information can be saved and accessed later. The nurse's manager should still be able to use the client data in a research study. This information can be saved and accessed later.

Answer to Question 2

Answer: 1; 3; 4

Rationale:
 Telehealth could be utilized to help diagnose and treat victims of a natural disaster. Telehealth includes the use of wireless data transmission, telephones, and image-transmission systems to put health care personnel in touch with practitioners who can diagnose and assist with treatment of clients. This is useful when the victim is far away from the practitioner. The health care personnel can relay information to the practitioner so that the practitioner can assist the health care personnel with a treatment plan or determine ways to stabilize the client for transfer.
 All volunteers, regardless of medical training, will be able to quickly understand how to use nursing informatics to help victims. Nursing informatics is not easily or quickly understood by people without appropriate education. Volunteers and other health care personnel will need training to use a new system that incorporates nursing informatics.
 After victims are identified, the electronic health record could be accessed to help discover pre-existing conditions that might be helpful to understand prior to planning treatment modalities. This is an important function of nursing informatics. Pre-existing conditions can narrow treatment options used by health care personnel.
 Online clinical practice guidelines could be accessed to ensure proper treatment of victims. This is an important function of nursing informatics. Health care personnel should access treatment guidelines from Internet resources to ensure appropriate and up-to-date treatment of the client.
 Nursing informatics provides easily used security measures to prevent people from looking at unauthorized data from electronic health records. One of the challenges of nursing informatics is that it is difficult to maintain security of electronic health records to prevent unauthorized release of information.