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. At the beginning: Examining the tympanic membrane at the beginning of the physical examination may not be ideal because it disrupts the flow of the assessment. It's more logical to start with general observations and proceed to more specific areas of assessment.
B. Before auscultating the chest and abdomen: While examining the tympanic membrane before auscultating the chest and abdomen may seem reasonable, it's not the optimal sequence. The nurse should focus on assessing major body systems before proceeding to more specific areas, such as the ears.
C. At the end: This is the correct approach. After completing the assessment of major body systems, such as the cardiovascular, respiratory, and abdominal systems, the nurse can then proceed to examine the ears, including the tympanic membrane. This sequence ensures a systematic and organized assessment.
D. Before examining the head and neck: While examining the tympanic membrane before the head and neck may seem logical due to proximity, it's more practical to conduct a comprehensive head-to-toe assessment first before focusing on specific areas like the ears.

A. "The IV heparin increases the effects of the warfarin and decreases the length of your hospital stay. " B. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin reaches a therapeutic level." C. "Both heparin and warfarin work together to dissolve the dots. " D. "I will call the provider to get a prescription for discontinuing the IV heparin today."

Correct Answer is B

Explanation

A. While heparin and warfarin both work as anticoagulants, IV heparin is not typically used to increase the effects of warfarin or decrease the length of hospital stay. Heparin is often administered initially to rapidly achieve therapeutic anticoagulation while waiting for warfarin to reach its full therapeutic effect, but it is not intended to directly enhance the action of warfarin.
B. This statement is accurate and provides a clear explanation to the client. Warfarin, an oral anticoagulant, takes several days to achieve a therapeutic level in the bloodstream and to exert its anticoagulant effect. During this time, IV heparin is continued to prevent clot formation until the therapeutic level of warfarin is reached.
C. While both heparin and warfarin work to prevent blood clots, they do not directly dissolve existing clots. Rather, they prevent the formation of new clots and the growth of existing ones. This explanation does not fully address the client's question regarding why both medications are necessary.
D. Discontinuing IV heparin prematurely without reaching a therapeutic level of warfarin could increase the risk of thrombus formation or embolization. Therefore, discontinuing IV heparin should be done under the guidance of the provider based on the client's INR levels and the target therapeutic range for warfarin.

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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 assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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