A nurse is caring for a 65-year-old male client in the emergency department. The client is presenting with symptoms of a potential cardiac event and has been admitted for further evaluation.
Complete the following sentence by selecting the most appropriate actions based on the client’s current status.
The nurse should first
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}
The nurse should first: Response 1: Notify the primary health care provider immediately.
This is crucial because the client is showing signs of a potential cardiac event, which requires immediate medical attention.
Then, the nurse should: Response 2: Start an IV line for potential medication administration.
Starting an IV line ensures that the client can receive any necessary medications quickly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Health information should not be disclosed to an employer for pre-employment screening without the client's consent, as it violates privacy regulations and the client's right to confidentiality. Such disclosures could lead to discrimination or bias in employment decisions.
Choice B rationale
Disclosing health information to a family member without the client's consent is a breach of confidentiality. The client must provide explicit permission, unless the situation involves an immediate risk to the client's or others' safety, which is not indicated here.
Choice C rationale
Sharing health information with a medical interpreter service on behalf of a client is permissible, as it facilitates communication between the client and healthcare providers. This action supports the client's care and ensures accurate understanding of medical information, making it an exception to the confidentiality rule.
Choice D rationale
Disclosing health information to an insurance agency regarding a life insurance policy requires the client's consent. It involves sharing sensitive information that could affect policy terms and premiums. Without consent, this disclosure would breach confidentiality laws.
Correct Answer is A
Explanation
Choice A rationale
Using disinfectant to clean the blood pressure cuff after use is an appropriate infection control measure. It reduces the risk of cross-contamination between clients by ensuring medical equipment is sanitized.
Choice B rationale
Double-bagging a client's linens each day is not necessary unless the linens are heavily soiled or contaminated with pathogens. Routine double-bagging is not an effective infection control practice and is resource-intensive.
Choice C rationale
Wearing sterile gloves when bathing a client who is incontinent is unnecessary. Non-sterile gloves are sufficient for this task, and sterile gloves should be reserved for surgical or invasive procedures to maintain sterility.
Choice D rationale
Rinsing contaminants from a bedpan with hot water can create aerosols that spread pathogens. Proper protocol involves cleaning and disinfecting the bedpan with appropriate solutions to ensure infection control. .
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