A nurse overhears two staff members in a public hallway discussing the diagnosis of a client on another unit. Which of the following actions should the nurse take to promote HIPAA regulations?

Ask the staff members to speak in much quieter tones.

Tell the staff members to stop discussing confidential information about this client.

Alert the facility's attorney about the staff members' breach of confidentiality.

Ignore the situation because there is no one close by to hear the staff members' discussion.

Answer and Explanation

The Correct Answer is B

A. Ask the staff members to speak in much quieter tones. This does not fully address the issue. HIPAA regulations prohibit discussing patient information in public areas regardless of the volume.
B. Tell the staff members to stop discussing confidential information about this client. This is correct. This action directly addresses the breach of confidentiality and promotes HIPAA regulations by stopping the inappropriate discussion.
C. Alert the facility's attorney about the staff members' breach of confidentiality. This action may be excessive and is not the immediate step needed to stop the breach. Reporting to a supervisor or manager is more appropriate.
D. Ignore the situation because there is no one close by to hear the staff members' discussion. This is incorrect. Ignoring the situation does not comply with HIPAA regulations, which require confidentiality regardless of whether anyone is nearby.

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Correct Answer is B

Explanation

A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.

A. Secure the cord with electrical tape under area rugs. B. Plug the device into the outlet closest to the tub when bathing. C. Grasp the cord to unplug the device. D. Tape the cord of the device against the baseboard with electrical tape.

Correct Answer is D

Explanation

A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.

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A nurse overhears two staff members in a public hallway discussing the diagnosis of a client on another unit. Which of the following actions should the nurse take to promote HIPAA regulations?

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