A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?

Faxing medical information to the client's provider's office

Teaching the client discharge instructions with his partner present

Giving a telephone report to a surgical nurse when sending the client to the surgical suite

Discussing the client's transfer to a long-term care facility with a nurse from another unit

Answer and Explanation

The Correct Answer is D

The nurse should identify that discussing the client's transfer to a long-term care facility with a nurse from another unit is a violation of HIPAA because it is not related to the client's care or treatment. The nurse should only share information with health care team members who are directly involved in the client's care or have a legitimate need to know.

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Correct Answer is C

Explanation

The Weber's test is used to assess for unilateral hearing loss caused by either conduction or sensorineural impairment. The nurse places a vibrating tuning fork on the midline of the client's head and asks if he hears it better in one ear or equally in both ears. A normal finding is that the sound is heard equally in both ears (no lateralization). If there is conduction deafness in one ear, the sound will be heard louder in that ear (lateralization to affected ear). If there is sensorineural deafness in one ear, the sound will be heard louder in the opposite ear (lateralization to unaffected ear).

A. Wearing gloves when performing perineal care B. Failing to don a mask when entering a client's isolation room C. Cleansing visibly fecal-soiled hands with alcohol-based hand rub D. Putting on a protective gown before entering a client's room

Correct Answer is C

Explanation

Cleansing visibly fecal-soiled hands with alcohol-based hand rub is a possible source of infection because alcohol-based hand rubs are not effective against Clostridium difficile spores. The nurse should wash his or her hands with soap and water for at least 15 seconds after contact with fecal material or surfaces contaminated with feces.

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A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is testing a client for conduction deafness by performing the Weber's test. Which of the following actions should the nurse take when performing this test?

Correct Answer is C

Explanation

A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of infection?

Correct Answer is C

Explanation

A nurse on a medical-surgical unit is caring for a client who reports difficulty sleeping at night. Which of the following findings should indicate to the nurse that the client has sleep deprivation?

A nurse is caring for a client who is dying and having Cheyne-Stokes respirations. Which of the following respiratory findings should the nurse expect?

A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?

A nurse is caring for a client who has a chest tube following thoracic surgery. Which of the following tasks should the nurse delegate to assistive personnel?

A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?

A nurse is caring for a client who is receiving enteral feedings via NG tube. Which of the following actions should the nurse take prior to administering the formula?

A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories. Which of the following statements by the client indicates an understanding of the teaching?

A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?