An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

"Ask the charge nurse if she will enter the vital signs for you."

"I'll give you my password to use on another computer, but only for those vital signs."

"I can't let you use the computer on my login, but give me the vital signs and I'll enter them."

"Contact the information technology team and ask them to reset your password."

Answer and Explanation

The Correct Answer is C

A. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

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Correct Answer is B

Explanation

A. Avoid using moisturizers on the client's skin. Moisturizers are important for maintaining skin integrity, especially in clients with incontinence, to prevent skin breakdown.
B. Place the client on a timed voiding schedule. This is correct. A timed voiding schedule can help manage incontinence by reducing the frequency of wetness and thereby preventing skin breakdown.
C. Place the client in high-Fowler's position while in bed. High-Fowler’s position is not typically indicated for preventing skin breakdown and can increase pressure on the sacral area.
D. Wash urine off the client's skin with hot water and soap. Washing with hot water and soap can be harsh and irritating to the skin. It is better to use mild soap and lukewarm water.

Correct Answer is ["63"]

Explanation

To calculate the infusion rate, divide the total volume to be infused by the total time in hours:

250 mL / 4 hr = 62.5 mL/hr
Rounded to the nearest whole number, this is 63 mL/hr.

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An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has limited mobility and is experiencing urinary incontinence. Which of the following actions should the nurse take to prevent skin breakdown?

Correct Answer is B

Explanation

A nurse is preparing to administer 0.9% sodium chloride 250 mL. IV to infuse over 4 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["63"]

Explanation

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