A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?
Report the observation to the nurse caring for that client.
Inform the nursing supervisor.
Approach the man and ask why he is making copies.
Notify hospital security.
The Correct Answer is C
Rationale:
A. Reporting the observation to the nurse caring for that client is important but not the immediate priority.
B. Informing the nursing supervisor is necessary but should be done after assessing the situation directly.
C. Approaching the man and asking why he is making copies is the most immediate and direct action. It allows the nurse to assess the situation and determine if the man has legitimate access to the client's medical record or if further action is needed.
D. Notifying hospital security may be necessary if the man’s actions are unauthorized, but the first step is to gather more information.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Call the provider for a stat DNR order is not appropriate as the client is already in a critical state requiring immediate action.
B. Call the emergency response team is necessary as the client is pulseless, and resuscitation should be initiated according to standard procedures until a DNR order is confirmed.
C. Seek immediate help from the risk manager is not appropriate at this moment; the immediate concern is the client's emergency situation.
D. Respect the family's wishes and do nothing is not appropriate as immediate life-saving measures should be taken until a formal DNR order is in place.
Correct Answer is D
Explanation
Rationale:
A. Measuring I&O is a task typically assigned to APs or RNs, not specifically requiring the LPN’s scope of practice.
B. Obtaining a client’s weight is a basic task that can be performed by APs.
C. Providing postmortem care can be performed by LPNs, but this task is not as complex as some others.
D. Inserting a nasogastric tube requires skills and knowledge specific to LPNs, making it an appropriate task for them.
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