Level: Advanced
Difficulty: Hard
Subtopic: Smart pumps
NCLEX: The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care an…
Informatics and healthcare technology Management of Care
Case Study
The telehealth nurse during a virtual follow-up visit is being evaluated for technology-supported nursing care and smart pumps. Assessment data include alarm fatigue is reported after repeated nonactionable monitor alarms overnight. Which finding requires the nurse to intervene immediately?
Question
A. A stable, long-standing finding that matches the expected care plan.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that alarm fatigue is reported after repeated nonactionable monitor alarms overnight.
D. Routine data unchanged from the prior assessment.
B. A comfort request with unchanged vital signs and no new symptoms.
C. The new finding that alarm fatigue is reported after repeated nonactionable monitor alarms overnight.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: C. The new finding that alarm fatigue is reported after repeated nonactionable monitor alarms overnight.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.