A nurse has just completed assessment charging on the electronic record for an assigned client. An assistive personnel who just measured the client’s vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?
Recommend the AP come back later when the record is available
Log out so the AP can log in to document the vital signs
Offer to chart the vital signs for the AP
Allow the AP to document the vital signs prior to logging out
The Correct Answer is B
a. Recommend the AP come back later when the record is available:
This option delays the documentation process unnecessarily and may inconvenience the AP.
It doesn't address the issue of maintaining patient confidentiality and accurate documentation.
b. Log out so the AP can log in to document the vital signs:
This is the correct choice as it ensures that each individual's documentation is attributed to the correct user.
It maintains patient confidentiality and adheres to HIPAA regulations.
It allows the AP to complete their task efficiently while preserving the integrity of the electronic record.
c. Offer to chart the vital signs for the AP:
This option involves the nurse taking over the responsibility of documenting the vital signs for the AP, which could lead to confusion and potential errors.
It's not the most appropriate solution as it may not be feasible for the nurse to document the vital signs accurately without directly measuring them.
d. Allow the AP to document the vital signs prior to logging out:
Allowing the AP to document vital signs under the nurse's login compromises the integrity of the electronic record and violates HIPAA regulations.
It's not an acceptable practice as it can lead to inaccuracies in the documentation and compromises patient confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Transport the client to the operating room without verifying informed consent:
This option suggests an urgent response, prioritizing the immediate need for surgery over the formal process of obtaining informed consent. In certain emergency situations, such as when a patient's life or health is in imminent danger and obtaining consent is not feasible, healthcare providers may proceed with treatment or surgery to prevent further harm or loss of life. However, this approach should be guided by established protocols, legal considerations, and the principle of providing the best possible care for the patient.
b. Delay the surgery until the nurse can obtain informed consent:
This option advocates for ensuring that the patient's autonomy and rights are respected by obtaining informed consent before proceeding with surgery. While obtaining consent is essential, delaying surgery may not always be feasible or advisable in emergency situations where prompt intervention is necessary to prevent deterioration of the patient's condition. However, if circumstances allow, making efforts to obtain informed consent is ethically and legally preferable.
c. Obtain telephone consent from the facility administrator before the surgery:
This option proposes seeking consent from a designated authority within the healthcare facility, such as a facility administrator, via telephone. While this approach may be practical in some cases, it may not always be sufficient to ensure that the patient's rights are fully respected, particularly if the administrator does not have the legal authority to provide consent on behalf of the patient. In emergency situations, obtaining consent from a legally authorized representative of the patient, if available, is generally preferred.
d. Ask the anesthesiologist to sign the consent:
This option involves delegating the responsibility of signing the consent form to another member of the healthcare team, in this case, the anesthesiologist. However, consent for surgery should ideally be obtained directly from the patient or their legally authorized representative, as they are the ones who have the right to make decisions about their medical care. Relying on another healthcare provider to sign the consent form may not adequately protect the patient's autonomy and legal rights.
Correct Answer is D
Explanation
a. "I am not sure how I will pay for all the therapy I will need":
"I am not sure how I will pay for all the therapy I will need":This statement expresses a concern about financial matters related to medical expenses and therapy costs. It is relevant for social services or a financial counselor, not an occupational therapist.This indicates a need for assistance with financial planning and resources, possibly involving a social worker or a financial advisor, rather than an OT.
b. "I hope I can adjust to using crutches while I am recovering":
"I hope I can adjust to using crutches while I am recovering":This statement reflects a concern with mobility and the use of assistive devices, such as crutches, during recovery. While this is an important aspect of rehabilitation, it is typically within the scope of physical therapy (PT) rather than occupational therapy.Physical therapists specialize in improving mobility, strength, and the proper use of mobility aids. Therefore, this would be more relevant for a PT referral.
c. "I just don’t think I can handle looking at my leg":
This statement indicates emotional distress and difficulty in accepting the physical changes after the amputation. This is an important issue, but it suggests a need for psychological support rather than OT intervention.This would be more appropriate for a referral to a mental health professional or counselor to address emotional and psychological concerns related to body image and adjustment.
d. "I am worried about taking care of my toddler":
This statement highlights a concern about the client's ability to manage daily tasks and care for a dependent (in this case, a toddler) at home after the surgery. Occupational therapists specialize in helping clients adapt to daily living activities and manage home responsibilities effectively despite physical limitations.
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