A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?
The nurse manager
A nursing student who is completing a preceptorship on the unit
The unit clerk
No one
The Correct Answer is D
Sharing personal passwords for accessing electronic client records is a violation of healthcare privacy and security regulations, such as the Health Insurance Portability and Accountability Act (HIPAA). Personal passwords should never be shared with anyone, regardless of their role or position within the healthcare facility. Each individual accessing electronic records should have their own unique login credentials to maintain accountability and protect the confidentiality of client information.
A. The nurse manager: While the nurse manager may have legitimate reasons to access client records, they should do so using their own authorized credentials. Sharing passwords compromises security and accountability.
B. A nursing student who is completing a preceptorship on the unit: Nursing students should be provided with their own temporary login credentials or supervised access to client records as part of their educational experience. Sharing personal passwords with students is inappropriate and violates privacy regulations.
C. The unit clerk: Unit clerks may require access to certain client information for administrative purposes, but they should have their own authorized login credentials provided by the facility. Sharing passwords with non-clinical staff like unit clerks poses risks to client privacy and confidentiality.
D. No one: This option is the correct choice. Personal passwords should never be shared with anyone, as doing so compromises security, violates privacy regulations, and undermines accountability for accessing electronic client records.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take the medication with dairy products to increase absorption: Calcium carbonate antacids should not be taken with dairy products as they can reduce the absorption of calcium due to the formation of insoluble calcium salts. It's recommended to take calcium carbonate antacids between meals or with a light snack, but not with dairy products.
B. Decrease bulk in the diet to counteract the adverse effect of diarrhea: Calcium carbonate antacids can sometimes cause constipation rather than diarrhea. Increasing dietary fiber and fluid intake may help prevent constipation associated with the use of these antacids. Therefore, advising to decrease bulk in the diet is not appropriate.
C. Draw a glass of water after taking the medication: Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution in the stomach and to prevent the risk of gastrointestinal irritation or obstruction. Water helps facilitate the dissolution and absorption of the medication, reducing the risk of adverse effects.
D. Reduce sodium intake: Calcium carbonate antacids may contain sodium, but reducing sodium intake is not a specific recommendation related to taking this medication. However, it's generally advisable to limit sodium intake for overall health, especially for individuals with conditions such as hypertension or heart failure.
Correct Answer is ["A","D","E"]
Explanation
A. Clubbing of the fingers: Clubbing of the fingers is a common finding in clients with advanced emphysema. It is characterized by bulbous enlargement of the fingertips and nail changes, including increased curvature and softening of the nail beds. Clubbing results from chronic hypoxia and tissue oxygen deprivation, which leads to vascular changes and tissue proliferation in the fingertips.
B. Deep respirations: Deep respirations are not typically associated with emphysema. Instead, clients with emphysema often exhibit shallow, rapid respirations due to decreased lung elasticity and air trapping, which impair effective ventilation. As a compensatory mechanism, clients may adopt a pursed-lip breathing pattern to facilitate expiration and reduce airway collapse.
C. Bradycardia: Bradycardia is not a characteristic finding in clients with emphysema. Instead, clients with emphysema commonly experience tachycardia, which is a compensatory response to hypoxia and increased work of breathing. Tachycardia helps maintain cardiac output and tissue perfusion in the setting of impaired gas exchange.
D. Barrel chest: Barrel chest is a classic physical finding in clients with emphysema. It results from hyperinflation of the lungs and loss of lung elasticity, leading to a permanent increase in the anteroposterior diameter of the chest. This change in chest shape contributes to the characteristic appearance of a rounded, barrel-like chest.
E. Dyspnea: Dyspnea, or shortness of breath, is a hallmark symptom of emphysema. Clients with emphysema often experience dyspnea, especially with exertion, due to air trapping, decreased lung function, and impaired gas exchange. Dyspnea can significantly impact the client's quality of life and functional status, requiring careful management and symptom relief interventions.
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