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.
Contact facility security to remove the nurse from the unit.
Complete an incident report about the breach of confidentiality.
Remind the nurse that only staff caring for the client may access the client's record.
The Correct Answer is D
Rationale:
A. Telling the nurse that permission from the risk manager is required to view the client's record is not accurate and may not address the situation appropriately.
B. Contacting facility security to remove the nurse from the unit is not necessary and may not address the situation appropriately.
C. Completing an incident report about the breach of confidentiality may be appropriate later if the situation escalates or if there is no resolution after speaking to the nurse. However, the immediate step is to address the breach directly.
D. Reminding the nurse that only staff caring for the client may access the client's record is the correct action. The nurse should remind the colleague that access to a client's medical record is restricted to those directly involved in their care. This respects patient confidentiality and complies with legal and ethical guidelines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This response is judgmental and may cause the client to feel guilty or defensive.
B. This response shows empathy and respect for the client's decision.
C. This response may be appropriate if the client needs further information or counseling but should not be the initial response.
D. This response is confrontational and may cause the client to become defensive.
Correct Answer is ["12.5"]
Explanation
To calculate the dose of ampicillin for a school-age child who weighs 55 lb, follow these steps: Convert the weight from pounds to kilograms:
55 lb × 1 kg/2.2 lb = 25 kg
Calculate the total daily dose of ampicillin:
50 mg/kg/day × 25 kg = 1250 mg/day
Divide the total daily dose by the number of doses per day:
1250 mg/day ÷ 4 doses/day = 312.5 mg/dose
Convert the dose from milligrams to milliliters using the concentration of the oral suspension:
312.5 mg/dose ÷ 125 mg/5 mL = 12.5 mL/dose
So, the nurse should administer approximately 12.5 mL of ampicillin oral suspension with each dose.
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