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?
Complete an incident report about the breach of confidentiality.
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.
Contact facility security to remove the nurse from the unit.
The Correct Answer is C
A. Completing an incident report about the breach of confidentiality may be necessary, but it
should not be the first action. The immediate concern is addressing the behavior and reminding the nurse of proper protocol.
B. While it may be true that permission from the risk manager is required to access certain
records, this response does not address the immediate issue of the unauthorized access. It's more important to address the behavior directly.
C. This is the most appropriate action because it directly addresses the unauthorized access to the client's medical record. Reminding the nurse of the proper protocol for accessing medical records can help prevent further breaches of confidentiality.
D. Contacting facility security to remove the nurse from the unit may be excessive at this stage and should be considered if the behavior persists after reminders about proper protocol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clammy skin may indicate various conditions, including shock or anxiety, but it is not
specifically indicative of deep-vein thrombosis. It is not the most concerning finding in this scenario.
B. Tortuous veins refer to veins that are twisted or enlarged, often visible on the surface of the skin. While tortuous veins may be present in some cases of deep-vein thrombosis, they are not a definitive sign and are less concerning than other symptoms.
C. Bradycardia, a slower than normal heart rate, is not typically associated with deep-vein
thrombosis. It may indicate other cardiovascular or systemic issues but is not the priority in this situation.
D. Calf swelling, especially unilateral swelling, is a common and concerning sign of deep-vein
thrombosis. It results from impaired venous return due to the presence of a blood clot in the deep veins of the leg. Prompt reporting of this finding is essential for further evaluation and
intervention.
Correct Answer is A
Explanation
A. Ensure that the stool specimen does not contain urine: Fecal occult blood tests are designed to detect blood in the stool, so it's important to ensure that the specimen
collected is not contaminated with urine, which could yield a false-positive result.
B. Wear sterile gloves when handling the stool specimen: Sterile gloves are not typically required for handling stool specimens for fecal occult blood testing. Standard
precautions, including hand hygiene and wearing non-sterile gloves, are sufficient.
C. Repeat the test three times using the same stool specimen: The test is typically
performed once on a fresh stool specimen, and repeating the test with the same specimen is not recommended.
D. Have the client defecate into a bedpan that contains a small amount of water: Fecal occult blood testing requires a small sample of stool collected from a bowel movement. Using a bedpan with water may dilute the stool and affect the accuracy of the test.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.