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Pergunta

LABORATORY-ACTIVITY-2.0.docx

Analyze and answer

Pensamento

Preparing to answer user’s document-based tasks

The user asked for analysis, and they uploaded a document. I need to address each activity: DIKW table, reflection questions, limitations with missing screenshots, and other tasks like recommendations and reflection. I’ll ensure citations are included, though I won’t browse for niche material unless the instructions specify.

Analyzing nursing informatics and activities

Nursing informatics appears stable, but I must ensure proper citation. I’ll mention the lab activity guide early, ensuring inline citations. For BMI, the calculation matches accurately (BMI = 32.0). Activity 2 involves presenting a table for Data, Information, Knowledge, Wisdom, and analyzing relevant patient information, including symptoms suggestive of diabetes.

Assessing patient risk and nursing actions

The patient shows signs of stage 2 hypertension and potential hypertensive urgency, with BP consistently high and high FBS suggesting diabetes. The diagnosis points to uncontrolled type 2 diabetes with hypertension. I’ll recommend relevant labs and clinical actions, including monitoring BP/glucose and referring to specialists. For Activity 3, I’ll explain typical screenshot components, though specific numbers can’t be confirmed without screenshots.

Mapping screenshots based on assumptions

Since the document contains placeholders for screenshots but no content, I can make an educated guess on their order. I’ll map the screenshots to generic components, like demographics, MAR, clinical documentation, etc., suggesting a likely sequence. Still, I'll leave the screenshot numbers blank in the table, acknowledging it’s based on assumption.

Analyzing Warfarin INR alert and EHR implementation

For Activity 4, I’ll detail the data, information, knowledge, and wisdom around the Warfarin INR alert, including potential risks like bleeding and actions like holding medication and notifying the physician. For Activity 5, I'll recommend strategies for EHR implementation, such as training, audit logs, and power backup. I'll also write about applying nursing informatics in clinical practice and ensure proper citations throughout the response.

Thought for 52s

Resposta

Below are completed answers for NCM 110: Nursing Informatics – Laboratory Activity #2.0 (LABORATORY-ACTIVITY-2.0.docx)

Activity 2: DIKW Framework (Maria Clara Reyes)

DIKW Table

LevelYour AnalysisExplanation
DATAPatient profile: Maria Clara Reyes, 55 y/o, female; PGH Manila; chief complaint: frequent urination + blurry vision x 3 weeks. Vitals: BP 178/98, 182/102, 176/100; HR 92, 88, 95; Temp 37.2°C. Labs: FBS 245 mg/dL. Assessment: Weight 84 kg; Height 162 cm; BMI 32 (obese). History: No current meds; last MD visit 2 yrs ago; mother has diabetes; PhilHealth active.Data are raw, unprocessed facts (numbers, observations, history items) with no interpretation yet.
INFORMATIONBP readings are consistently very high (~176–182/98–102). HR is mildly elevated (high 80s to mid-90s). Temp is normal. FBS is markedly elevated (245). Symptoms (polyuria + blurry vision) align with hyperglycemia. Obesity + family history increase diabetes risk.Information is organized data with patterns/trends (e.g., repeated hypertension, hyperglycemia, symptom pattern).
KNOWLEDGEThe pattern suggests probable uncontrolled Type 2 Diabetes Mellitus (FBS in diabetic range + classic symptoms) and severely elevated blood pressure (possible hypertensive urgency depending on symptoms/organ damage). Obesity and lack of follow-up increase risk for complications (stroke/MI, kidney disease, eye problems).Knowledge applies clinical meaning to the information (what the patterns likely indicate, and what risks they imply).
WISDOMImmediate priorities: repeat/confirm BP correctly; assess for headache, chest pain, SOB, neuro deficits, vision changes severity; notify provider of severely elevated BP + hyperglycemia. Next steps: anticipate orders for HbA1c, repeat FBS/RBS, UA/ketones, creatinine/eGFR, lipids; monitor BP/glucose; start patient education (diet, activity, foot care, warning signs); arrange referral/follow-up (MD, dietitian, eye check).Wisdom is safe decision-making and action: what to do now, what to escalate, and what plan reduces harm and improves outcomes.

Reflection Questions (2–3 sentences each)

  1. How does organizing data into information help nurses make better decisions?
    Organizing data shows patterns (e.g., repeated high BP and high glucose) that might be missed if each number is viewed alone. Patterns help nurses prioritize, recognize risks early, and communicate clearer, more focused concerns to the healthcare team.

  2. What role does clinical experience play in moving from knowledge to wisdom?
    Clinical experience helps nurses recognize which findings are urgent (e.g., severe BP with symptoms) versus those needing routine follow-up. It also improves judgment on what actions prevent harm—like when to escalate, what to monitor closely, and how to tailor teaching to the patient.

  3. How can health information technology support each level of the DIKW framework?
    Health IT captures data accurately (vitals, labs), then displays information through trend graphs and flagged abnormal values. It supports knowledge using clinical references and decision support, and supports wisdom by prompting safe actions (alerts, protocols, documentation, referrals, and follow-up tracking).

Activity 3: Health Information Systems Analysis (EHR Components)

I can’t actually view the screenshots in the file you uploaded (they appear as blank placeholders), so I matched components to screenshot numbers in the most common 1→6 sequence used in these activities. If your screenshots are in a different order, just swap the numbers.

ComponentDescription/FunctionScreenshot #
Patient DemographicsIdentifies patient (name, age, sex, ID number), address/contact, insurance, allergies/alerts header info.1
Medication Administration Record (MAR)Shows scheduled/PRN meds, due times, administration status, nurse documentation, barcode checks (if used).2
Clinical DocumentationNursing notes, assessments, care plans, flowsheets (I&O, pain scale, vital signs charting).3
Laboratory ResultsDisplays lab values with dates/times, reference ranges, abnormal flags, trending.4
Clinical Decision Support AlertSafety pop-ups (allergy, interaction, abnormal lab + med warnings), guidelines, recommended actions.5
Order Entry SystemWhere providers/nurses enter orders (meds, labs, imaging), often with order sets and verification steps.6

Activity 4: Scenario (Warfarin + INR Alert)

How this demonstrates the DIKW framework

  • Data: INR = 3.8 (critical high), Warfarin order 10 mg, alert text, bleeding risk label.
  • Information: System links the high INR to Warfarin and flags a drug–lab interaction with high bleeding risk + recommendation to contact physician.
  • Knowledge: Clinically, warfarin raises INR; an INR of 3.8 is above typical therapeutic range for many indications, so giving 10 mg could increase bleeding risk.
  • Wisdom: Hold/avoid administering until clarified, contact the physician, assess patient for bleeding, document actions, and follow protocol.

What should Nurse Maria Cruz do next and why?

  1. Do not administer Warfarin yet (safety first).
  2. Assess the patient for bleeding (gums, urine/stool, bruising), vital signs, and any symptoms.
  3. Notify/consult the physician immediately and report the INR value and alert recommendation, then carry out the updated order (dose adjust/hold/repeat INR) and document.

TWO potential problems with clinical decision support alerts

  • Problem 1: Alert fatigue (too many alerts → nurses may override or ignore even important ones).
  • Problem 2: Low specificity / false positives (alerts that don’t fit the exact context interrupt workflow and can reduce trust in the system).

Activity 5: Case Study (EHR Implementation at Santo Niño District Hospital)

Recommendations (patient safety + informatics approach)

  • Training plan by skill level: baseline computer training for beginners; role-based EHR training for all; use super-users/champions per unit for on-the-spot help.
  • Safer medication process: prioritize CPOE (computerized order entry), standardized order sets, and eMAR to reduce errors from handwriting/transcription; add double-check steps for high-alert meds.
  • Downtime & reliability planning: create clear downtime procedures (paper MAR/notes templates, back-entry workflow), prepare for power interruptions (UPS/generator plan), and plan for intermittent internet (offline mode or local caching if available).
  • Phased implementation: pilot one unit first, fix issues, then scale up; track medication error rates before/after.
  • Governance + support: assign a small safety/quality team for incident reporting, auditing, and continuous improvement; schedule support coverage during go-live despite limited IT staff.

1 paragraph (3–5 sentences): How I will apply nursing informatics in future practice

In my future clinical practice, I will use nursing informatics to turn patient data into meaningful trends that guide safe decisions, such as tracking vital signs and lab results over time and responding early to deterioration. I will rely on EHR tools like standardized documentation and clinical decision support to reduce errors, while staying alert to limitations like alert fatigue. I will also advocate for accurate data entry, privacy, and clear communication during handoffs using structured documentation. Most importantly, I will combine technology with clinical judgment to deliver patient-centered care.

If you want, paste or upload the actual EHR screenshots (images/PDF), and I’ll redo Activity 3 with the exact correct screenshot-to-component matching.

Pergunta

Create a pdf format file for that answers

Python

python
from reportlab.platypus import Flowable
from reportlab.pdfgen import canvas

def header_footer(canvas, doc):
    canvas.saveState()
    canvas.setFont("Helvetica", 9)
    width, height = letter
    # Footer
    canvas.setStrokeColorRGB(0.8,0.8,0.8)
    canvas.line(0.75*inch, 0.65*inch, width-0.75*inch, 0.65*inch)
    canvas.setFillColor(colors.grey)
    canvas.drawString(0.75*inch, 0.45*inch, "NCM 110 - Nursing Informatics - Laboratory Activity #2.0 (Answers)")
    canvas.drawRightString(width-0.75*inch, 0.45*inch, f"Page {doc.page}")
    canvas.restoreState()

def para(text, style=body):
    return Paragraph(text, style)

# Content from previous answers
student_name = "Oliver Scott

'/mnt/data/NCM110_LabActivity2_Answers_OliverScott.pdf'

Python

python
# Rebuild PDF without forced page break before Activity 5 to reduce whitespace.
doc_path2 = "/mnt/data/NCM110_LabActivity2_Answers_OliverScott.pdf"
doc2 = SimpleDocTemplate(doc_path2, pagesize=letter, leftMargin=0.8*inch, rightMargin=0.8*inch, topMargin=0.8*inch, bottomMargin=0.85*inch)
story2 = []

# Cover
story2.append(para("NCM 110: Nursing Informatics", title_style))
story2.append(para("Laboratory Activity # 2.0 - Completed Answers", subtitle_style))
story2.append(para("Academic Year 2025-2026, 2nd Semester", subtitle_style))
story2.append(info_table)
story2.append(Spacer(1, 10))
story2.append(para("Note: This document contains answers for Activities 2-5 based on the provided laboratory activity

Python

python
from reportlab.platypus import KeepTogether

def build_pdf(path, student_name="Oliver Scott", date_str="February 2, 2026", force_pagebreak_activity5=False):
    doc = SimpleDocTemplate(path, pagesize=letter, leftMargin=0.8*inch, rightMargin=0.8*inch, topMargin=0.8*inch, bottomMargin=0.85*inch)
    story = []
    # Cover
    story.append(para("NCM 110: Nursing Informatics", title_style))
    story.append(para("Laboratory Activity # 2.0 - Completed Answers", subtitle_style))
    story.append(para("Academic Year 2025-2026, 2nd Semester", subtitle_style))
    info_table = Table([
        ["Student Name:", student_name],
        ["Date:", date_str],


'/mnt/data/NCM110_LabActivity2_Answers_OliverScott.pdf'

Pensamento

Reviewing page 4

Page 3 looks good! Moving on to page 4 now. I’ll check for content alignment, flow, and any page breaks that might look awkward or cause issues. We want everything to fit nicely and ensure the layout stays consistent. Let’s make sure page 4 is as neat as the others!

Thought for 6m 33s

Resposta

Here’s the PDF with the completed answers (based on your Laboratory Activity #2.0 guide (LABORATORY-ACTIVITY-2.0.docx)):

Download the PDF

If you want me to change the student name/date formatting (or add your Year & Section), tell me what to put and I’ll regenerate it.

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