The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

The patient's nurse asks the patient if their neighbor, who is at the nurses station, can visit now.

The patient's nurse uses the facility computer to document the patient's bath and linen change.

A nurse looks at the chart of their neighbor so that the nurse can add them to the prayer list at church.

A nurse fails to log off the computer charting system after documenting patient care.

A nurse discusses a patient with a coworker in the elevator.

Answer and Explanation

Correct Answer : C,D

Choice A rationale:

Asking a patient if their neighbor can visit is not a violation of HIPAA policy as it does not involve sharing sensitive patient information.

Choice B rationale:

Using the facility computer to document patient care is appropriate and not a violation of HIPAA policy, assuming the nurse is following proper security protocols.

Choice C rationale:

Looking at a neighbor's chart to add them to a prayer list at church is a clear violation of HIPAA policy. This action breaches patient confidentiality and compromises their privacy, which is essential under HIPAA regulations.

Choice D rationale:

Failing to log off the computer charting system after documenting patient care is also a violation of HIPAA policy. This can lead to unauthorized access and potential misuse of patient information, putting patient privacy at risk.

Choice E rationale:

Discussing a patient with a coworker in a public place like an elevator violates HIPAA policy. Even though the conversation is with a colleague, it is essential to protect patient information in all circumstances to maintain confidentiality and trust.

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Correct Answer is B

Explanation

Choice A rationale:

Maintaining the patient in a supine position during rest would not be appropriate for a client with shortness of breath. This position can worsen breathing difficulties, especially in clients with respiratory issues. It reduces lung expansion and can lead to increased work of breathing.

Choice B rationale:

Monitoring the client's oxygen saturation hourly is the appropriate intervention for a client with shortness of breath. Oxygen saturation (SpO2) levels indicate the percentage of oxygen bound to hemoglobin in the blood. Monitoring SpO2 levels helps assess the client's oxygenation status and provides crucial information about the effectiveness of respiratory interventions. Normal oxygen saturation levels typically range between 95% to 100%. Monitoring allows timely recognition of hypoxemia, enabling prompt intervention to improve oxygenation and prevent complications.

Choice C rationale:

Ambulating the client in the hall four times daily may not be suitable for a client experiencing shortness of breath, as it can exacerbate respiratory distress. Ambulation increases oxygen demand and can further compromise oxygenation in individuals struggling to breathe.

Choice D rationale:

Encouraging high protein foods during mealtime is unrelated to the immediate management of shortness of breath. While proper nutrition is essential for overall health and healing, it does not directly address the acute issue of respiratory distress.

A. Weight-bearing activities to stimulate joint relaxation. B. Exercises to strengthen flexor muscles. C. Range of motion exercises to prevent worsening of contractures. D. Frequent position changes to reverse the contractures.

Correct Answer is C

Explanation

Choice A rationale:

Weight-bearing activities are not suitable for a patient with contractures, as they may worsen joint stiffness and discomfort. Engaging in weight-bearing activities could lead to further limitations in joint mobility and exacerbate the contractures.

Choice B rationale:

Exercises to strengthen flexor muscles might be beneficial in other contexts, but for a patient with contractures, the focus should be on improving joint mobility and preventing the contractures from worsening. Strengthening exercises do not directly address the issue of limited joint mobility caused by contractures.

Choice C rationale:

Range of motion exercises are essential for patients with contractures. These exercises involve moving joints through their full range of motion to maintain or improve joint flexibility. Regularly performing range of motion exercises prevents further tightening of muscles and joints, thereby preventing the worsening of contractures.

Choice D rationale:

Frequent position changes are important to prevent pressure ulcers and maintain overall comfort, but they do not specifically address the issue of contractures. While position changes are necessary, they are not the primary intervention for managing contractures.

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The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which intervention would be appropriate for a client with shortness of breath?

Correct Answer is B

Explanation

The newly admitted patient has contractures of both lower extremities.What nursing intervention should be included in this patient's plan of care?

Correct Answer is C

Explanation

A patient with Covid has been bedridden for the last 2 weeks.What effects does the nurse expect to find in a patient who has had minimal activity and mobility for 2 weeks?

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