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?
Complete an incident report about the breach of confidentiality.
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.
Contact facility security to remove the nurse from the unit.
The Correct Answer is C
A. Completing an incident report about the breach of confidentiality may be necessary, but it
should not be the first action. The immediate concern is addressing the behavior and reminding the nurse of proper protocol.
B. While it may be true that permission from the risk manager is required to access certain
records, this response does not address the immediate issue of the unauthorized access. It's more important to address the behavior directly.
C. This is the most appropriate action because it directly addresses the unauthorized access to the client's medical record. Reminding the nurse of the proper protocol for accessing medical records can help prevent further breaches of confidentiality.
D. Contacting facility security to remove the nurse from the unit may be excessive at this stage and should be considered if the behavior persists after reminders about proper protocol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Napping during the day may disrupt nighttime sleep patterns by reducing sleep drive.
B. Watching television in bed can stimulate the brain and interfere with sleep due to the blue light emitted from screens.
C. Engaging in vigorous physical activity close to bedtime may increase alertness and make it harder to fall asleep.
D. Drinking a glass of milk before bedtime can promote sleep due to the presence of tryptophan, which aids in the production of serotonin and melatonin, neurotransmitters involved in sleep
regulation.
Correct Answer is D
Explanation
A. Increasing protein intake is not directly related to preventing orthostatic hypotension. While adequate nutrition is essential for overall health and healing postoperatively, it does not
specifically address the risk of orthostatic hypotension.
B. Using an incentive spirometer is beneficial for promoting lung expansion and preventing respiratory complications after surgery but does not directly address orthostatic hypotension.
C. Performing regular isometric exercises may help prevent muscle atrophy and maintain
strength during periods of immobility but does not specifically address orthostatic hypotension.
D. Dangling the legs over the side of the bed before standing helps the body gradually adjust to an upright position, reducing the risk of orthostatic hypotension by allowing the cardiovascular system to acclimate to changes in posture.
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