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 B
Explanation
Choice A reason: Continuing with the blood pressure assessment without acknowledging the auscultatory gap may result in an inaccurate reading.
Choice B reason: Noting the presence of an auscultatory gap is important as it indicates a brief period when Korotkoff sounds disappear and then reappear, which can lead to underestimation of systolic blood pressure and overestimation of diastolic blood pressure if not recognized.
Choice C reason: Repositioning the stethoscope may not address the issue of the auscultatory gap and may lead to inaccurate readings.
Choice D reason: Re-inflating the cuff to a higher number is unnecessary and may cause discomfort without addressing the auscultatory gap.
Correct Answer is ["B","E"]
Explanation
Choice A reason: Tinnitus is not an immediate concern in the context of multiple sclerosis.
Choice B reason: Tachycardia should be reported immediately as it could indicate an underlying cardiovascular issue or autonomic dysfunction.
Choice C reason: Tremors are a common symptom of multiple sclerosis and do not require immediate reporting unless there is a significant change.
Choice D reason: Paresthesia is also a common symptom of multiple sclerosis and does not require immediate reporting unless there is a significant change.
Choice E reason: Fever should be reported immediately as it can indicate an infection, which can exacerbate multiple sclerosis symptoms.
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