A postoperative client returns to the nursing unit following a ureterolithotomy via a flank incision. Which potential problem has the highest priority when planning nursing care for this client?

Activity intolerance.

Fluid volume excess.

Ineffective airway clearance.

Altered nutrition; less than body requirements.

Answer and Explanation

The Correct Answer is C

Choice A reason: Activity intolerance is important but not the highest priority immediately after surgery.

Choice B reason: Fluid volume excess can be a concern but is not as critical as ensuring effective airway clearance.

Choice C reason: Ineffective airway clearance is the highest priority as it directly impacts the client’s ability to breathe and maintain adequate oxygenation, which is crucial for postoperative recovery.

Choice D reason: Altered nutrition is also important but is not the immediate priority compared to airway clearance.

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Correct Answer is A

Explanation

Choice A reason: Relevance to the situation is the most important consideration when gathering evidence to ensure that the information directly addresses the specific clinical question and problem at hand.

Choice B reason: Related personal values are important but secondary to the relevance of evidence in making clinical decisions.

Choice C reason: Frequency that the problem occurs is useful information but not as crucial as ensuring the evidence is directly relevant.

Choice D reason: Past experience with similar problems can inform decision-making but should be supported by relevant and current evidence.

A. EMR tracking alerts the hospital information systems of the nurse's attempts to access the record. B. Encourage the friend to share her concerns with her daughter and other family members. C. EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client. D. The daughter's permission needs to be obtained before the information can be shared by the nurse. E. Review of the EMR violates client confidentiality and is not permitted legally or ethically.

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

Explanation

Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.

Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.

Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.

Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.

Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.

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A postoperative client returns to the nursing unit following a ureterolithotomy via a flank incision. Which potential problem has the highest priority when planning nursing care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

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

Explanation

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