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 ["12.5"]
Explanation
To calculate the dosage, first convert the child's weight to kilograms (1 kg = 2.2 lbs), so 55 lbs is approximately 25 kg. The total daily dose of ampicillin prescribed is 50 mg/kg/day, which for a 25 kg child is 1250 mg/day (50 mg/kg * 25 kg). This total daily dose should be divided into 4 equal doses, resulting in 312.5 mg per dose (1250 mg/day ÷ 4 doses/day). The concentration of the ampicillin suspension is 125 mg/5 mL, so to find out how many mL per dose, divide the dose in mg by the concentration and multiply by the volume: 312.5 mg per dose ÷ 125 mg/5 mL = 2.5 * 5 mL = 12.5 mL per dose. Therefore, the nurse should administer 12.5 mL per dose.
Correct Answer is B
Explanation
A. Clasping hands behind the body can risk contamination; maintaining a sterile field is crucial.
B. Interlocking fingers and holding hands away from the body above the waist prevents contamination of the gloves and maintains a sterile technique.
C. Keeping hands at the sides may not adequately protect the sterile field; hands should be positioned to minimize contamination risk.
D. Placing hands over the gown may not be appropriate as it does not ensure that the gloves remain sterile and free from contamination.
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