A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

The actual medical record belongs to the client

A client's medical record information remains confidential, even during an emergency

If the client dies, their family receives their medical record

A client has the right to view their medical record

Answer and Explanation

The Correct Answer is D

Answer: (D) A client has the right to view their medical record

Rationale:

A) The actual medical record belongs to the client: While clients have the right to access their medical records, the physical medical record itself typically belongs to the healthcare provider or facility that created it. The client does not own the physical document but has the right to view or obtain copies of it under HIPAA regulations.

B) A client's medical record information remains confidential, even during an emergency: While confidentiality is a core principle of the HIPAA Privacy Rule, there are specific exceptions during emergencies. For instance, healthcare providers may share information if it is necessary to provide care or if there is an imminent threat to the client or others. Thus, confidentiality can be adjusted in critical situations.

C) If the client dies, their family receives their medical record: A client’s medical records do not automatically go to their family after death. Access to a deceased person's medical records is typically granted to the executor of the estate or a legal representative, and specific legal processes must be followed. Therefore, this statement is incorrect.

D) A client has the right to view their medical record: Under the HIPAA Privacy Rule, clients have the right to access and view their medical records. They can request copies of their records, review them, and request amendments if they believe there are errors. This right is fundamental to ensuring transparency and accuracy in medical documentation.

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Correct Answer is B

Explanation

Answer: B. Stiff posture

Rationale:
A. Lip-smacking : Lip-smacking is not typically an indication of pain in newborns. It may be associated with hunger or neurological responses, but it does not directly indicate discomfort or pain caused by shoulder dystocia or other injuries.
B. Stiff posture : A stiff posture can indicate pain in newborns, as they often exhibit hypertonicity or rigidity when experiencing discomfort. This response is a protective mechanism and may suggest the newborn is reacting to pain from potential nerve or tissue damage caused by shoulder dystocia.
C. Weak cry : While a weak cry may indicate neurological or respiratory distress, it is not a specific sign of pain. In the context of shoulder dystocia, a weak cry could reflect complications such as brachial plexus injury but does not directly signify the presence of pain.
D. Tongue-darting : Tongue-darting is more commonly associated with neurological issues or feeding difficulties rather than pain. It is not a typical behavioral response to discomfort or injury in newborns experiencing complications like shoulder dystocia.

A. The client's most recent blood pressure reading was 110/60 mm Hg. B. The client's morning laboratory results included a potassium level of 4.9 mg/dL. C. The client has +2 pitting edema in the lower extremities. D. The client's partner assisted them with their meal tray.

Correct Answer is D

Explanation

The client's partner assisting them with their meal tray (option d) is not as important as the other information and may not need to be included in the change-of-shift report.

A nurse providing change-of-shift report for a client who has heart failure should include all of the above information in the report.

The client's most recent blood pressure reading,morning laboratory results, and presence of pitting edema in the lower extremities are all important pieces of information that the incoming nurse should be aware of.

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A nurse is reinforcing teaching with a newly licensed nurse about the HIPAA Privacy Rule. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newborn who has shoulder dystocia. The nurse should identify which of the following findings as an indication of pain?

Correct Answer is B

Explanation

A nurse is providing change-of-shift report for a client who has heart failure. Which of the following information should the nurse notinclude in the report?

Correct Answer is D

Explanation

A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?

A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?

A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take?

A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?

A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider?

A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?

A newly licensed nurse is having difficulty finishing client care tasks during their shift. Which of the following techniques should the nurse plan to use to assist with time management?