A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Identifying the client by name when making a referral for home health services
Reporting laboratory findings to a member of the client's family
Discussing a client's surgical procedure with the nurse manager
Notifying the provider of physical examination findings
The Correct Answer is B
A. Identifying the client by name when making a referral for home health services: This action is generally permissible if done in the context of necessary care coordination and with appropriate privacy measures in place.
B. Reporting laboratory findings to a member of the client's family: This action violates confidentiality unless the client has given explicit consent for the release of such information.
C. Discussing a client's surgical procedure with the nurse manager: This is usually acceptable within the healthcare team, provided it is done for care coordination or quality improvement purposes and the information is kept confidential.
D. Notifying the provider of physical examination findings: This action is part of standard care procedures and is necessary for the provider to make informed decisions about the client's treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer the medication using a Z-track technique: This is correct as ceftriaxone should be administered using the Z-track technique to prevent leakage of the medication into the subcutaneous tissue and minimize irritation.
B. Administer the medication using a 5/8-inch needle: A longer needle is typically needed for IM injections to reach the muscle tissue, so a 5/8-inch needle is not appropriate.
C. Administer the medication in the deltoid muscle: Ceftriaxone is usually administered in the larger muscle groups such as the ventrogluteal or vastus lateralis muscles rather than the deltoid.
D. Administer the medication at a 45° angle: IM injections are generally given at a 90° angle to ensure that the medication is properly deposited into the muscle tissue.
Correct Answer is B
Explanation
A. Shake the inhaler for 3 to 5 seconds: While shaking the inhaler is necessary, the recommendation is typically to shake it for 5 seconds before use, not 3.
B. Wait 2 minutes between inhalations: Waiting 2 minutes between inhalations allows time for the medication to work and reduces the risk of side effects. This is a correct practice for using an MDI.
C. Press down twice on the MDI canister: Generally, pressing down once per dose is the correct action. Pressing down twice might not be necessary unless directed by specific instructions.
D. Rinse the mouth with mouthwash after inhaling the medication: It is recommended to rinse the mouth with water, not mouthwash, to prevent oral thrush, especially after using inhaled corticosteroids.
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