A nurse is observing a newly licensed nurse fax client information. For which of the following actions should the nurse intervene?

Contacting the recipient before faxing the information.

Shredding documents after faxing the information.

Including critical lab values on the fax cover sheet.

Marking out client identifier information prior to faxing.

Answer and Explanation

The Correct Answer is C

A. Contacting the recipient before faxing the information:
This is correct practice to ensure the right person receives the fax.

B. Shredding documents after faxing the information:
This is correct for protecting patient privacy and preventing unauthorized access.

C. Including critical lab values on the fax cover sheet:
The cover sheet should only contain minimal identifying information; critical medical details should not be on the cover sheet to maintain confidentiality.

D. Marking out client identifier information prior to faxing:
Removing identifiers is appropriate if the recipient does not require them for legitimate care purposes.

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Correct Answer is D

Explanation

A. Place the client in a seclusion room:
Seclusion is a last resort for managing dangerous behavior and is not appropriate as a first response.

B. Apply wrist restraints to the client:
Restraints are also a last resort when the client poses an immediate danger and all other measures have failed.

C. Administer PRN haloperidol IM to the client:
Medication is not the first intervention; de-escalation should be attempted before pharmacologic methods.

D. Engage the client in a repetitive activity as a distraction:
For clients with dementia, redirecting attention to a familiar or soothing activity is an effective first-line strategy to de-escalate agitation.

A. "Have a backup supply of nonprescription medications." B. "Replace nonperishable food items annually." C. "Stock 2 liters of water per person per day." D. "Gather enough supplies to last for 2 weeks."

Correct Answer is A

Explanation

A. "Have a backup supply of nonprescription medications.":
A supply of nonprescription medications (e.g., analgesics, antacids, first aid supplies) is essential for managing minor health problems when pharmacy access may be limited.

B. "Replace nonperishable food items annually.":
The CDC and FEMA recommend replacing stored food every 6 months to ensure freshness and nutritional value, not annually.

C. "Stock 2 liters of water per person per day.":
The recommendation is 3.8 liters (1 gallon) per person per day, not 2 liters, to account for drinking and hygiene needs.

D. "Gather enough supplies to last for 2 weeks.":
The standard recommendation is to have enough for at least 3 days (72 hours) for most disaster preparedness; extended stocking may be appropriate in remote areas but is not the baseline recommendation.

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A nurse is observing a newly licensed nurse fax client information. For which of the following actions should the nurse intervene?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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