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.
EMR tracking alerts the hospital information systems of the nurse's attempts to access the record.
Encourage the friend to share her concerns with her daughter and other family members.
EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client.
The daughter's permission needs to be obtained before the information can be shared by the nurse.
Review of the EMR violates client confidentiality and is not permitted legally or ethically.
Correct Answer : A,C,D,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.75"]
Explanation
Calculation Steps:
Step 1: Determine the concentration of the reconstituted solution: 0.25 mg/mL. Result = 0.25 mg/mL.
Step 2: Calculate the volume needed for the prescribed dose: 0.1875 mg ÷ 0.25 mg/mL = 0.75 mL.
Result = 0.75 mL.
Correct Answer is B
Explanation
Choice A reason: Explaining the need for skin exposure to sunlight without sunscreen is not advisable because it can increase the risk of further skin damage or skin cancer, especially in a client with a history of severe burns. Sunscreen should be used to protect the skin from harmful UV rays.
Choice B reason: Teaching the need for dietary and supplemental vitamin D is important because clients with extensive burns often have impaired vitamin D synthesis due to reduced exposure to sunlight and possible nutritional deficiencies. Vitamin D is essential for bone health and muscle function.
Choice C reason: Instructing the client in the use of muscle strengthening exercises is beneficial for overall health, but it does not directly address the specific issue of bone pain and muscle weakness related to potential vitamin D deficiency.
Choice D reason: Encouraging progressive active range of motion is important for maintaining joint flexibility and function, but it does not directly address the underlying cause of bone pain and muscle weakness in this scenario.
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