A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?

Patient Protection and Affordable Care Act

American With Disabilities Act

Patient Self-Determination Act

Health Insurance Portability and Accountability Act

Answer and Explanation

The Correct Answer is D

A. Patient Protection and Affordable Care Act: This act primarily focuses on improving healthcare access, quality, and affordability. It does not specifically address the confidentiality of client information or the inappropriate sharing of patient data.

B. American With Disabilities Act: This act protects individuals with disabilities from discrimination. While it’s important in healthcare, it does not directly relate to the confidentiality of client information.

C. Patient Self-Determination Act: This act requires healthcare providers to inform patients of their rights regarding advance directives. It does not pertain to the confidentiality of client care information shared among staff members.

D. Health Insurance Portability and Accountability Act (HIPAA): HIPAA protects patient privacy by regulating the confidentiality of healthcare information. Discussing a client’s care in a public space, such as an elevator, without the client’s consent violates HIPAA’s privacy rules, which protect the client's health information from unauthorized disclosure.

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Correct Answer is B

Explanation

A. Cyclobenzaprine: Cyclobenzaprine is a muscle relaxant used to treat muscle spasms, not neuropathic pain. It is not the appropriate medication for managing pain associated with peripheral neuropathy.

B. Gabapentin: Gabapentin is commonly prescribed for neuropathic pain, such as that associated with peripheral neuropathy. It works by affecting the way nerves transmit pain signals, making it an effective treatment for chronic nerve pain.

C. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, but it is typically not effective for neuropathic pain. It is more commonly used for conditions involving inflammation, such as arthritis.

D. Oxycodone: Oxycodone is an opioid pain medication that is generally reserved for severe pain. While it may be prescribed for acute pain, it is not the first-line treatment for chronic neuropathic pain due to its potential for dependence and side effects.

A. Prop the feet up. B. Apply an abduction pillow to the legs. C. Use a trochanter roll. D. Use foot splints.

Correct Answer is D

Explanation

A. Prop the feet up: Proping the feet up may not be effective in preventing plantar flexion contractures, as it does not provide sustained support to keep the feet in a neutral position. Plantar flexion can still occur with this position.

B. Apply an abduction pillow to the legs: An abduction pillow is used to keep the hips in a neutral position, not to prevent plantar flexion contractures. It is useful for preventing hip contractures but not specifically for the feet.

C. Use a trochanter roll: A trochanter roll helps prevent external rotation of the hip joint, not plantar flexion of the feet. It is used for positioning to prevent hip complications, but it does not address foot position or contracture prevention.

D. Use foot splints: Foot splints are designed to keep the feet in a neutral or dorsiflexed position, preventing the toes from pointing downward (plantar flexion). This is the most effective intervention to prevent plantar flexion contractures in an immobile client.

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A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following federal statutes does this violate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has chronic pain related to peripheral neuropathy. Which of the following medications should the nurse expect the provider to prescribe for this client?

Correct Answer is B

Explanation

A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?

Correct Answer is D

Explanation

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