A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

“I should encrypt personal health information when sending emails”

“I can use another nurse’s password as long as I log off after using the computer”

“I should discard personal health information documents in the trash before leaving the unit”

“I can post the client’s vital signs in the client’s room”

Answer and Explanation

The Correct Answer is A

a.   This statement demonstrates an understanding of the importance of protecting personal health information by encrypting it when transmitting electronically, ensuring confidentiality.
b.   Using another nurse's password violates client confidentiality and compromises security protocols.
c.   Discarding personal health information documents in the trash without proper disposal methods can lead to unauthorized access and breach of confidentiality.
d.   Posting a client's vital signs in their room could potentially compromise their privacy, as it may be viewed by unauthorized individuals.

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Correct Answer is C

Explanation

A. Opened bottles of normal saline should be discarded after 24 hours to prevent contamination, even if stored in a refrigerator. Keeping them longer could increase the risk of infection, making this practice unsafe.

B. Sharps containers should be disposed of when they are three-quarters full, not completely full, to prevent needlestick injuries and ensure staff safety. This is a critical safety measure, not an appropriate cost-containment strategy.

C. Using clean gloves rather than sterile gloves for colostomy care is an appropriate cost-saving measure without compromising care. Clean gloves are sufficient for this procedure and help reduce unnecessary use of sterile supplies, which are more expensive.

D. Unused supplies from the bedside should not be returned to the supply stock due to infection control protocols. Once supplies have been taken to the bedside, they are considered contaminated and should be disposed of, not reused.

A. MS 10mg IV every 4 hrs. prn for pain B. Morphine sulfate 10mg IV q 4hrs. IV prn for pain C. MSO4 10mg IVP q 4hrs prn for pain D. Morphine sulfate 10.0mg every 4 hours IV prn for pain

Correct Answer is B

Explanation

Rationale for A: The abbreviation "MS" is not recommended for use in prescriptions because it can be confused with magnesium sulfate or morphine sulfate. This can lead to medication errors, making this option unsafe for transcription.

Rationale for B: This prescription is the correct choice because it clearly spells out "morphine sulfate," avoiding any potential confusion with similar abbreviations. It also uses the appropriate dosage and frequency without unnecessary trailing zeros, reducing the risk of errors.

Rationale for C: The abbreviation "MSO4" is considered dangerous because it can be confused with magnesium sulfate (MgSO4). Additionally, using abbreviations in prescriptions can lead to misinterpretation and medication errors.

Rationale for D: Although this option spells out "morphine sulfate," it uses a trailing zero in "10.0 mg," which can be misinterpreted as a higher dose, such as 100 mg. Trailing zeros should be avoided to prevent potential overdose.

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A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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