The charge nurse is assisting a nurse in the admission process for a patient with multiple chronic conditions.
Which action taken by the nurse demonstrates a breach of confidentiality to the charge nurse?
Shares the health history with case manager.
Discusses diagnoses with the physical therapist.
Provides a list of food allergies to nutritional services.
Requests military records by phone.
The Correct Answer is D
Requesting military records by phone without the patient’s consent would be a breach of confidentiality.
Choice A is incorrect because sharing the health history with a case manager who is involved in the patient’s care would not be a breach of confidentiality.
Choice B is incorrect because discussing diagnoses with a physical therapist who is involved in the patient’s care would not be a breach of confidentiality.
Choice C is incorrect because providing a list of food allergies to nutritional services who are involved in the patient’s care would not be a breach of confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A well-approximated incision means that the edges of the wound are close together and aligned properly, which is a sign that the surgical incision is healing properly.
Choice A is incorrect because eschar and slough in the wound are not signs of proper healing.
Choice B is incorrect because beety red granulation tissue is not a sign of proper healing.
Choice C is incorrect because erythema and serosanguineous drainage are not signs of proper healing.
Correct Answer is C
Explanation
When checking the restraints, the most important action for the nurse to take is to assess capillary refill distal to the restraints.
This helps to ensure that the restraints are not too tight and that blood flow to the extremities is not compromised.
Choice B, verifying that the restraints can be quickly released, is important for safety but does not directly address the client’s physical well-being.
Choice D, replacing the nasogastric tube, may also be necessary but is not the most important action in this situation.
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