Charting By Exception (CBE)
Charting By Exception (CBE) ( 5 Questions)
A nurse is reviewing the EHR of a client who is admitted for chest pain.
Which of the following information should the nurse expect to find in the EHR?
(Select all that apply.).
The client’s medical history and current medications, and the results of the client’s electrocardiogram and cardiac enzymes are information that the nurse should expect to find in the EHR of a client who is admitted for chest pain. These are essential components of an EHR that provide comprehensive health information about the patient, such as their diagnosis, treatment, and progress.
The client’s medical history and current medications, and the results of the client’s electrocardiogram and cardiac enzymes are information that the nurse should expect to find in the EHR of a client who is admitted for chest pain. These are essential components of an EHR that provide comprehensive health information about the patient, such as their diagnosis, treatment, and progress.
The discharge plan and teaching for the client and family are not part of the EHR until the client is ready to be discharged. They are not relevant for a client who is newly admitted for chest pain.
The variances from the critical pathway for the client’s diagnosis are not part of the EHR, but rather a quality improvement tool that monitors the deviations from the expected outcomes and interventions for a specific diagnosis.
The names and contact information of the case management team are not part of the EHR, but rather a communication tool that facilitates coordination of care among different providers and organizations.
The client’s medical history and current medications, and the results of the client’s electrocardiogram and cardiac enzymes are information that the nurse should expect to find in the EHR of a client who is admitted for chest pain. These are essential components of an EHR that provide comprehensive health information about the patient, such as their diagnosis, treatment, and progress.
Choice C is wrong because the discharge plan and teaching for the client and family are not part of the EHR until the client is ready to be discharged. They are not relevant for a client who is newly admitted for chest pain.
Choice D is wrong because the variances from the critical pathway for the client’s diagnosis are not part of the EHR, but rather a quality improvement tool that monitors the deviations from the expected outcomes and interventions for a specific diagnosis.
Choice E is wrong because the names and contact information of the case management team are not part of the EHR, but rather a communication tool that facilitates coordination of care among different providers and organizations.