A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

Identifying the client by name when making a referral for home health services

Reporting laboratory findings to a member of the client's family

Discussing a client's surgical procedure with the nurse manager

Notifying the provider of physical examination findings

Answer and Explanation

The Correct Answer is B

A. Identifying the client by name when making a referral for home health services: This action is generally permissible if done in the context of necessary care coordination and with appropriate privacy measures in place.

B. Reporting laboratory findings to a member of the client's family: This action violates confidentiality unless the client has given explicit consent for the release of such information.

C. Discussing a client's surgical procedure with the nurse manager: This is usually acceptable within the healthcare team, provided it is done for care coordination or quality improvement purposes and the information is kept confidential.

D. Notifying the provider of physical examination findings: This action is part of standard care procedures and is necessary for the provider to make informed decisions about the client's treatment.

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Correct Answer is ["A","C","D"]

Explanation

A. 2 mg: This is an acceptable abbreviation for the dosage of medication, as it uses standard metric units that are clear and precise.
B. MSO4: This abbreviation for morphine sulfate is not recommended due to the potential for confusion with magnesium sulfate. The use of "morphine sulfate" is preferred to avoid ambiguity.
C. 30 mL: This is an acceptable abbreviation for the volume of a liquid medication or fluid, using standard metric units.
D. bid: This abbreviation stands for "twice a day" and is generally acceptable in medical documentation, though "twice a day" is preferable to avoid errors.
E. Q.D.: This abbreviation for "every day" is not recommended because it can be confused with "QID" (four times a day). The use of "daily" is preferred for clarity.

A. Specific characteristics of the medications B. Time at which the medication can be available from the pharmacy C. Institutional policies regarding routine medication administration times D. Schedule of administration that the client follows at home

Correct Answer is A

Explanation

A. Specific characteristics of the medications: This is correct. The primary consideration for determining the medication schedule is the specific characteristics of each medication, including its pharmacokinetics, such as how often it should be administered and whether it needs to be taken with food or at certain times of the day.

B. Time at which the medication can be available from the pharmacy: While this may affect the timing of administration, it is not the primary factor. Medications should be scheduled based on their specific requirements for effectiveness and safety, regardless of pharmacy availability.

C. Institutional policies regarding routine medication administration times: Although institutional policies may provide guidelines for routine administration, they should be adjusted based on the specific needs of the medication and the client.

D. Schedule of administration that the client follows at home: While this may be relevant for maintaining continuity of care, the primary factor in determining the administration schedule should be the specific characteristics and requirements of the medications themselves.

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A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

Correct Answer is A

Explanation

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