A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Complete an incident report about the breach of confidentiality.
Contact facility security to remove the nurse from the unit.
The Correct Answer is B
A. While it is important to restrict access to medical records, it is not solely the risk manager's role to give permission; the policy should be followed regarding patient information access.
B. Reminding the nurse that only those directly involved in the client's care should access their medical record upholds confidentiality and patient privacy standards.
C. Completing an incident report is a more formal step and might be warranted later, but initially addressing the behavior directly is more appropriate.
D. Contacting security would be an extreme response; addressing the situation with the nurse first is typically the best course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Drinking coffee can actually stimulate bowel movements and may help prevent constipation.
B. Opioid pain medications are known to slow bowel motility, which can lead to constipation, making this a risk factor for impaired bowel elimination.
C. Eating fiber-rich foods like apples and black-eyed peas can aid in maintaining regular bowel movements.
D. Adequate hydration, like drinking 2,000 mL of water daily, is beneficial for healthy bowel function and helps to prevent constipation.
Correct Answer is B
Explanation
A. The incentive spirometer is used to promote lung expansion and prevent atelectasis, not to prevent orthostatic hypotension.
B. Dangling the legs over the side of the bed before standing allows blood pressure to adjust gradually, reducing the risk of orthostatic hypotension.
C. Isometric exercises are beneficial for muscle strength but are not specifically helpful in preventing orthostatic hypotension immediately before standing.
D. Protein intake is essential for healing, but it does not directly prevent orthostatic hypotension.
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