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1. A nurse is using an electronic health record (EHR)
system to document the care of a patient with chronic
obstructive pulmonary disease (COPD). The nurse
notices that the system has a clinical decision support
(CDS) tool that provides evidence-based guidelines for
managing COPD. What is the best way for the nurse to
use this tool?
a) Follow the guidelines exactly as they are presented
in the CDS tool.
b) Compare the guidelines with the patient's
preferences and values and make adjustments as
needed.
c) Ignore the guidelines and rely on the nurse's own
clinical judgment and experience.
d) Consult with the physician or other members of the
interdisciplinary team before applying the guidelines.
Answer: B. The nurse should use the CDS tool as a
source of information, but not as a substitute for
critical thinking and patient-centered care. The nurse
should compare the guidelines with the patient's
preferences and values and make adjustments as
needed to provide individualized care.
2. A nurse is working in a hospital that has
implemented a computerized provider order entry
(CPOE) system. The nurse receives an order from a
physician to administer a medication to a patient. The
nurse notices that the order has a red flag indicating a
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