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A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL

A client who has Type 1 diabetes and uses an insulin pump

A client who is receiving heparin and has an aPTT of 34 seconds

A client who has orthostatic hypotension and is receiving IV fluids

Answer and Explanation

The Correct Answer is A

Choice A Reason:
A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL is correct. This client has multiple risk factors for developing pressure ulcers, including a low albumin level. An interdisciplinary conference would be beneficial to involve various healthcare professionals, such as wound care specialists, dietitians, and physical therapists, to develop a comprehensive plan of care to prevent and manage pressure ulcers.
Choice B Reason:
A client who has Type 1 diabetes and uses an insulin pump is incorrect. While managing Type 1 diabetes requires coordination among healthcare providers, the use of an insulin pump alone may not necessitate an interdisciplinary conference unless there are specific concerns or issues that require input from multiple disciplines.
Choice C Reason:
A client who is receiving heparin and has an aPTT of 34 seconds is incorrect. Monitoring heparin therapy and adjusting doses based on laboratory values such as activated partial thromboplastin time (aPTT) is typically within the purview of the nursing and medical team. An interdisciplinary conference may not be necessary unless there are complications or concerns that require input from other healthcare professionals.
Choice D Reason:
A client who has orthostatic hypotension and is receiving IV fluids is incorrect. Orthostatic hypotension and IV fluid management are often managed primarily by the nursing and medical team. While input from other disciplines may be valuable in certain cases, it may not warrant scheduling an interdisciplinary conference unless there are specific complexities or challenges that require input from multiple disciplines.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Convey the client's request to the nurse who witnessed the consent.The nurse who witnessed the consent does not have the authority to explain the risks of the procedure. Their role is only to witness that the consent was signed, not to provide information about the procedure.

B. Notify the provider about the client's concerns.The provider who is performing the cardiac catheterization is legally responsible for explaining the risks, benefits, and alternatives of the procedure. If the client expresses concerns or appears to lack understanding just before the procedure, the nurse should notify the provider so they can further explain the risks and clarify any questions.

C. Explain the risks of the procedure to the client.While the nurse can offer general information about the procedure, only the provider who is performing the procedure should explain the specific risks associated with it.

D. Check to see if the medical record indicates the provider explained the procedure to the client. Even if documentation indicates that the provider previously explained the procedure, the client still has the right to have their concerns addressed by the provider just before the procedure.

A. "Clients who participate in research studies forfeit their HIPAA right to privacy." B. "HIPAA prohibits the uploading of photographs of client's providers to social media sites." C. "HIPAA allows facility-specific coding of client health care information to ensure privacy." D. "HIPAA allows clients to request a review of their own medical records."

Correct Answer is D

Explanation

Choice A Reason:
"Clients who participate in research studies forfeit their HIPAA right to privacy. "This statement is incorrect. While research studies may involve the use of personal health information, participants still retain their HIPAA rights to privacy. Research institutions are required to follow strict guidelines for protecting participants' privacy and confidentiality.
Choice B Reason:
"HIPAA prohibits the uploading of photographs of client's providers to social media sites. "This statement is true. HIPAA prohibits the unauthorized disclosure of protected health information (PHI), which includes photographs, on social media or any other public platform without the patient's explicit consent.
Choice C Reason:
"HIPAA allows facility-specific coding of client health care information to ensure privacy." This statement is ambiguous and could be interpreted in different ways. HIPAA requires covered entities to implement safeguards to protect the privacy of health information, which may include coding or encryption of data. However, facility-specific coding alone may not be sufficient to ensure privacy compliance without proper implementation of HIPAA privacy and security standards.
Choice D Reason:
"HIPAA allows clients to request a review of their own medical records. “This statement is correct. HIPAA grants individuals the right to access and review their own medical records held by covered entities, such as healthcare providers and health plans. This access allows patients to verify the accuracy of their medical information and understand how their health information is being used and disclosed.

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a

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?

Correct Answer is D

Explanation

A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?

A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)

A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?

A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?