Level: Advanced
Difficulty: Hard
Subtopic: Informatics ethics
NCLEX: The RN using the electronic health record is being evaluated for technology-supported nursing care and informatic…
Informatics and healthcare technology Management of Care
Case Study
The RN using the electronic health record is being evaluated for technology-supported nursing care and informatics ethics. Assessment data include a smart pump hard stop appears for an infusion rate outside the safe range. Which finding requires the nurse to intervene immediately?
Question
A. The new finding that a smart pump hard stop appears for an infusion rate outside the safe range.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: A. The new finding that a smart pump hard stop appears for an infusion rate outside the safe range.
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.