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. Moisturizing soap can leave a residue that may interfere with adhesion and is not recommended for stoma care.
B. Pressing the skin barrier for 30 seconds helps to ensure adhesion, which is necessary to prevent leakage and skin irritation.
C. The skin barrier opening should be cut close to the size of the stoma (about 1/8 inch larger) to prevent skin irritation and protect the peristomal skin.
D. Talc powder is not recommended, as it can interfere with the adhesive properties of the barrier.
Correct Answer is C
Explanation
A. Documentation is important but should occur after addressing the client’s concerns.
B. Returning the medication is appropriate if the client ultimately refuses it, but initial discussion is needed first.
C. Informing the client of the potential consequences of refusing their medication respects their autonomy while ensuring they understand how it may impact their health. This is the first step to address concerns and provide education.
D. Notifying the provider is necessary if the client continues to refuse after education, as the provider may need to adjust the prescription.
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