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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Black-colored stools: Black-colored stools are not an expected side effect of IV rifampin. Black stools can result from gastrointestinal bleeding or the consumption of certain foods or medications, but they are not directly related to rifampin administration.
B. Staining of teeth: Staining of teeth, often described as orange or red discoloration, is a well-known side effect of rifampin when taken orally. However, this side effect is typically associated with long-term oral use rather than IV administration. IV rifampin is not expected to cause staining of teeth.
C. Red-colored urine: Rifampin can cause red-orange discoloration of bodily fluids, including urine, sweat, saliva, and tears. This phenomenon is harmless and reversible but can be alarming to patients. It is important to educate clients about this potential side effect to alleviate concerns.
D. Constipation: Constipation is not a common side effect of rifampin. While gastrointestinal disturbances such as nausea, vomiting, and diarrhea can occur with rifampin therapy, constipation is not typically reported. If a client experiences persistent constipation while taking rifampin, other factors should be considered and evaluated.

A. Activate the fire alarm. B. Use a fire extinguisher to put out the fire. C. Move any clients in the immediate vicinity. D. Close the fire doors on the unit

Correct Answer is C

Explanation

A. Activate the fire alarm: While activating the fire alarm is important in alerting others to the fire, the priority is ensuring the safety of clients in the immediate vicinity. Moving clients away from the potential danger takes precedence over activating the alarm.
B. Use a fire extinguisher to put out the fire: While extinguishing the fire is necessary to prevent its spread, it should only be attempted after ensuring the safety of clients nearby. Attempting to use a fire extinguisher without first moving clients could put them at risk of injury or smoke inhalation.
C. Move any clients in the immediate vicinity: This is the priority action. Moving clients away from the potential danger of the smoldering fire helps protect them from smoke inhalation and potential burns. It ensures their safety while allowing the nurse to assess the situation and determine further actions.
D. Close the fire doors on the unit: Closing fire doors can help contain the fire and prevent its spread, but it is not the immediate priority when clients are in close proximity to the smoldering fire. Moving clients to safety should be the first action taken.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. The nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication?

Correct Answer is C

Explanation

A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

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