An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

"Ask the charge nurse if she will enter the vital signs for you."

"I'll give you my password to use on another computer, but only for those vital signs."

"I can't let you use the computer on my login, but give me the vital signs and I'll enter them."

"Contact the information technology team and ask them to reset your password."

Answer and Explanation

The Correct Answer is C

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

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Correct Answer is C

Explanation

A. "The client's postoperative antibiotic was administered." While this information is important, it is not typically included in the change-of-shift report unless there were specific issues related to antibiotic administration (e.g., allergic reactions, missed doses).
B. "The client's partner came to visit today." While this information might be relevant to the client’s social and emotional well-being, it is not critical for the shift report regarding clinical care.
C. "At 2200, the client's IV fluid bag and tubing will need replacing." This statement is important for continuity of care and should be included in the report to ensure that the next shift is aware of necessary actions.
D. "Colonoscopy was performed 48 hours ago." This information is relevant for understanding the client’s postoperative status but is less immediate compared to other details such as current medication administration or upcoming needs.

A. Methadone B. Hydrocodone C. Morphine D. Gabapentin

Correct Answer is D

Explanation

A. Methadone Methadone is an opioid used primarily for severe pain and opioid dependency.
B. Hydrocodone Hydrocodone is an opioid used for moderate to severe pain but not specifically for neuropathic pain.
C. Morphine Morphine is an opioid used for severe pain but not specifically for neuropathic pain.
D. Gabapentin Gabapentin is an anticonvulsant medication that is commonly used to treat neuropathic pain, making it appropriate for diabetic neuropathy.

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An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

A nurse is providing change-of-shift report on a client who is postoperative following abdominal surgery. Which of the following statements should the nurse include in the change-of-shift report?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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