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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Completing the fall risk survey provides a comprehensive assessment of the client's fall risk, considering all factors.

Choice B reason: Informing the client that falls occur more often in the hospital does not complete the assessment.

Choice C reason: Recording a minimal risk based solely on the client's statement may not accurately reflect the true fall risk.

Choice D reason: Placing the client on high fall risk protocol based on age alone is not appropriate without a complete assessment.

A. Avoid strenuous activity and sports for at least 2 weeks. B. Report any painful urination, blood in urine, or fever. C. Report any allergies to shellfish or iodine. D. Lay prone for 24 hours after the procedure.

Correct Answer is B

Explanation

Choice A reason: Avoiding strenuous activity for 2 weeks is not typically required after a cystoscopy.

Choice B reason: Reporting painful urination, blood in urine, or fever is important as these may indicate complications such as infection.

Choice C reason: Shellfish or iodine allergies are not relevant for a cystoscopy, as contrast dyes are not typically used in this procedure.

Choice D reason: Laying prone for 24 hours is not necessary after a cystoscopy.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While the nurse is assessing an older client's fall risk, the client reports living at home alone and never falling. Which action should the nurse take?

Correct Answer is A

Explanation

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

Correct Answer is B

Explanation

The nurse is teaching a female client about preventive measures for urinary tract infections (UTI). Which information should the nurse include?

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

The nurse is caring for a client who has a history of experiencing delusions. The client describes singing in a concert in the afternoon for thousands of people. Which action should the nurse take?

An adult is admitted with acute flank pain, a 102°F (38.9°C) oral temperature, hematuria, dysuria, urgency, and fishy-smelling urine. Which admitting prescription(s) are most important for the nurse to implement? Select all that apply.

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?