A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Complete an incident report about the breach of confidentiality.
Contact facility security to remove the nurse from the unit.
The Correct Answer is B
A. While it is important to restrict access to medical records, it is not solely the risk manager's role to give permission; the policy should be followed regarding patient information access.
B. Reminding the nurse that only those directly involved in the client's care should access their medical record upholds confidentiality and patient privacy standards.
C. Completing an incident report is a more formal step and might be warranted later, but initially addressing the behavior directly is more appropriate.
D. Contacting security would be an extreme response; addressing the situation with the nurse first is typically the best course of action.
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Related Questions
Correct Answer is C
Explanation
A. While a witness may be required, it does not have to be a family member and may vary by state law.
B. Advance directives specify health care preferences, not organ donation, which usually requires a separate directive.
C. Naming a family member, like a sibling, as a designee in a durable power of attorney for health care is appropriate and is part of ensuring that health care decisions align with the client’s wishes if they become unable to communicate.
D. Advance directives do not require an attorney’s approval to be valid; they are enforced based on the client’s wishes as documented.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
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