A nurse is reviewing a client's electronic medical record (EMR). Which of the findings should the nurse identify as a risk factor for a potential accident or injury?

History of dementia

Steady gait

History of gastric reflux

Age of 45

Answer and Explanation

The Correct Answer is A

A.   History of dementia- Dementia can impair cognitive function and increase the risk of accidents or injuries, such as falls or wandering.
B.   Steady gait- A steady gait indicates good balance and is not typically considered a risk factor for accidents or injuries.
C.   History of gastric reflux- Gastric reflux may cause discomfort but is not directly related to an increased risk of accidents or injuries.
D.   Age of 45- While age can be a risk factor for certain conditions, such as falls in older adults, being 45 years old alone does not necessarily indicate an increased risk of accidents or injuries.

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Correct Answer is D

Explanation

A) To an employer for a pre-employment screening - Health information should not be disclosed to an employer without the client's written consent, as it violates the client's right to privacy and confidentiality.
B) To an insurance agency in regard to a life insurance policy - Health information should not be disclosed to an insurance agency without the client's written consent, as it violates the client's right to privacy and confidentiality.
C) To a family member when the client is not available - Health information should only be disclosed to family members with the client's written consent or in situations where it is necessary for the client's care or safety.
D) To a medical interpreter service on behalf of a client - Health information can be disclosed to a medical interpreter service without the client's written consent to facilitate communication between the client and healthcare providers while maintaining confidentiality.

A. Request a change in the medication route to PO. B. Remind the client that they must receive the medication as prescribed. C. Tell the client not to worry because the pain will be temporary. D. Ask one of the client's loved ones to encourage them to receive the IM

Correct Answer is A

Explanation

A) Request a change in the medication route to PO. - If the client is afraid of needles, and if methadone can be effectively administered orally (PO), changing the route of administration to oral may be a reasonable alternative.
B) Remind the client that they must receive the medication as prescribed. - While important to ensure adherence to the prescribed treatment, it's also essential to address the client's concerns and preferences.
C) Tell the client not to worry because the pain will be temporary. - Dismissing the client's fear with reassurance about temporary pain may not adequately address their anxiety.
D) Ask one of the client's loved ones to encourage them to receive the IM medication.

- Involving loved ones may be helpful, but the client's preference should be respected, and alternative options should be explored.

View Question and Answer

Body System	Findings
Neurological	Alert and oriented to person, place, and time; deep tendon reflexes 4+
Musculoskeletal	Generalized weakness with equal bilateral muscle strength and mild leg cramping
Respiratory	: Lungs clear
Cardiovascular	: Heart rate irregular, Heart rate 95/min
Gastrointestinal	Bowel sounds hyperactive x 4 quadrants

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A nurse is reviewing a client's electronic medical record (EMR). Which of the findings should the nurse identify as a risk factor for a potential accident or injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, "I am afraid of needles." Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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