A nurse is reviewing client confidentiality with other staff members.
The nurse should identify that which of the following actions is an example of protecting client confidentiality?

Writing a client's diagnosis on the message board in the client's room.

Discarding worksheets containing client information in a wastebasket.

Giving change-of-shift report to a nurse outside the client's room.

Discussing a client's prognosis with an assistive personnel who is caring for the client.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Writing a client's diagnosis on the message board in the client's room is not an example of protecting client confidentiality. This action violates the client's right to privacy and confidentiality as it exposes the diagnosis to anyone who enters the room.

Choice B rationale:

Discarding worksheets containing client information in a wastebasket is not an example of protecting client confidentiality. Proper disposal of sensitive information is essential to maintain confidentiality, and discarding such materials without proper shredding or disposal methods can compromise confidentiality.

Choice C rationale:

Giving change-of-shift report to a nurse outside the client's room is an example of protecting client confidentiality. This action ensures that confidential patient information is shared in a private and secure manner, away from the ears of unauthorized individuals. It upholds the principles of client privacy and confidentiality.

Choice D rationale:

Discussing a client's prognosis with an assistive personnel who is caring for the client is not an example of protecting client confidentiality. Prognosis information is sensitive and should only be shared with healthcare professionals directly involved in the client's care and who have a need to know.

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Correct Answer is B

Explanation

Choice A rationale:

Stimulate the infant to cry. Stimulating the infant to cry is an important step in newborn care, as crying helps to clear the respiratory passages and establish effective breathing. However, it should not be the first action taken, as there are more immediate priorities in newborn care.

Choice B rationale:

Clear the respiratory tract. Clearing the respiratory tract should be the first action taken when caring for a newborn following a vaginal delivery. The newborn may have mucus or amniotic fluid in the airway, which can obstruct breathing. Clearing the airway ensures that the infant can breathe effectively. This action takes precedence over other tasks.

Choice C rationale:

Dry the infant off and cover the head. Drying the infant off and covering the head is important for maintaining the infant's temperature and preventing heat loss. However, it is not the first priority when compared to clearing the respiratory tract. Establishing effective breathing is of utmost importance.

Choice D rationale:

Clamp the umbilical cord. Clamping the umbilical cord is typically done after the baby is breathing and stable. It is an important step in the immediate post-delivery care, but it should not be the first action taken. Clearing the respiratory tract and ensuring the infant can breathe take precedence.

A. Triiodothyronine. B. Prothrombin time. C. Blood urea nitrogen. D. Serum potassium.

Correct Answer is A

Explanation

Choice B rationale:

Prothrombin time. Monitoring prothrombin time is not typically required for clients taking levothyroxine. Prothrombin time is a measure of blood clotting and is not directly affected by thyroid hormone replacement therapy.

Choice C rationale:

Blood urea nitrogen. Monitoring blood urea nitrogen is not specifically related to levothyroxine therapy. Blood urea nitrogen is a measure of kidney function and is not typically affected by thyroid hormone replacement.

Choice D rationale:

Serum potassium. Monitoring serum potassium levels is important for some medications, but it is not a primary concern when a client is taking levothyroxine. Levothyroxine is primarily used to replace or supplement thyroid hormones, and its main focus is on thyroid function.

Choice A rationale:

Triiodothyronine. Triiodothyronine (T3) is one of the thyroid hormones, and monitoring its levels is essential when a client is taking levothyroxine. Levothyroxine is a synthetic form of thyroxine (T4), which the body converts into triiodothyronine (T3) Monitoring T3 levels helps ensure that the client's thyroid hormone replacement therapy is effective and that they are not experiencing over- or under-dosage.

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A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a newborn following a vaginal delivery.Which of the following actions should the nurse perform first?

Correct Answer is B

Explanation

A nurse is caring for a client who has a prescription for levothyroxine.Which of the following laboratory tests should the nurse monitor?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc.Which of the following findings should the nurse identify as an indicator of unrelieved pain?

A nurse is collecting data from a client who is taking tranylcypromine and reports ingestion of tyramine-rich foods.The nurse should monitor the client for which of the following findings as an adverse effect of this medication?

A nurse is caring for a school-age child who has appendicitis.For which of the following findings should the nurse monitor as a manifestation of a perforated appendix and report to the provider?

A nurse is caring for a client who is 1 day postoperative following a total hip arthroplasty and is receiving heparin subcutaneously.Which of the following adverse effects of the medication should the nurse report to the provider?

A nurse in a long-term care facility observes an assistive personnel who is incorrectly monitoring a client's blood glucose level. The nurse should report this observation to which of the following personnel first?

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

A nurse is reviewing client confidentiality with other staff members.
The nurse should identify that which of the following actions is an example of protecting client confidentiality?