A nurse is reinforcing teaching about client confidentiality with a newly licensed nurse.
Which of the following actions should the nurse include in the teaching?
Place clipboards containing client information facing down.
Post routine intake and output on the message boards in client rooms.
Fax confidential client information without a cover sheet.
Dispose of contents containing client health information in the trash before leaving the unit.
The Correct Answer is A
Choice A rationale
Placing clipboards with client information facing down prevents unauthorized viewing, thereby adhering to confidentiality laws such as HIPAA. It reduces the likelihood of accidental breaches of sensitive information when in public or shared spaces.
Choice B rationale
Posting intake and output on message boards breaches confidentiality as it exposes personal health information to anyone in the room. This violates privacy regulations like HIPAA and compromises client trust in the healthcare system.
Choice C rationale
Faxing confidential information without a cover sheet increases the risk of unauthorized access if the fax is received by unintended parties. A cover sheet is a standard practice to safeguard client data and ensure legal compliance.
Choice D rationale
Disposing of client information in the trash without proper shredding allows potential retrieval and misuse of sensitive data. It is essential to follow facility protocols for secure disposal, like using designated shredders for healthcare documents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Clustering care activities minimizes disruption and conserves clients’ energy, enhancing recovery. It allows nurses to streamline workflow efficiently while respecting client needs, ensuring holistic, patient-centered care.
Choice B rationale
Setting specific times for low-priority tasks may reduce flexibility and delay care for higher priorities. Effective management requires adaptability and prioritization based on real-time needs and changes.
Choice C rationale
Performing complicated tasks independently contradicts teamwork principles, increasing errors and compromising patient safety. Collaboration ensures thorough assessments and reduces risks in client care.
Choice D rationale
Postponing checking for new prescriptions delays timely interventions, risking medication errors or treatment gaps. Regularly reviewing prescriptions supports safe, effective, and continuous client care. .
Correct Answer is B
Explanation
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A. Removing gloves before leaving an isolation room: ✅ Appropriate. Gloves should be removed before exiting to prevent contamination.
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B. Instructing a client to look down at their feet when ambulating: ❌ Unsafe. This increases the risk of falls. Clients should be encouraged to look straight ahead to maintain balance and awareness of their surroundings.
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C. Filling a basin with water at 40°C (104°F): ✅ Safe and appropriate temperature for foot care.
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D. Applying water-soluble lubricant to the nares of a client receiving oxygen: ✅ Acceptable. Water-soluble lubricants help prevent dryness and are safe to use with oxygen therapy.
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