OSHA is responsible for regulating which of the following?
Immunization schedules
Patient privacy
Accuracy of laboratory results
Universal precautions
The Correct Answer is D
Choice A reason:
Immunization schedules are not regulated by OSHA. They are typically overseen by public health agencies such as the Centers for Disease Control and Prevention (CDC) in the United States. These agencies provide guidelines on when and which vaccines should be administered to various populations.
Choice B reason:
Patient privacy is primarily regulated by the Health Insurance Portability and Accountability Act (HIPAA), not OSHA. HIPAA sets the standard for protecting sensitive patient health information from being disclosed without the patient's consent or knowledge.
Choice C reason:
The accuracy of laboratory results falls under the purview of the Clinical Laboratory Improvement Amendments (CLIA), which are federal regulatory standards that apply to all clinical laboratory testing performed on humans in the United States, except for clinical trials and basic research.
Choice D reason:
Universal precautions are indeed regulated by OSHA. These are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes. These precautions are designed to protect workers from exposure to diseases spread by blood and certain body fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Anchoring a vein is a technique used to stabilize the vein during venipuncture to prevent it from rolling. The recommended practice is to anchor the vein 1 to 2 inches below the puncture site. This is done by applying gentle traction on the skin downward with the thumb, which helps to stabilize the vein and facilitate the insertion of the needle.
Choice B Reason:
Anchoring 1 to 2 inches above the puncture site is not the standard practice. This position would not provide the necessary tension on the vein to prevent it from rolling and could make the venipuncture more difficult.
Choice C Reason:
Anchoring 2 inches left of the puncture site does not provide the correct angle or tension for stabilizing the vein for a venipuncture and is not a recommended technique.
Choice D Reason:
Anchoring 1 inch right of the puncture site is also not a recommended practice. Similar to anchoring to the left, this does not provide the proper stabilization needed for a successful venipuncture.
Correct Answer is C
Explanation
Choice A Reason:
Signing a release for laboratory results is a form of expressed consent, not implied consent. Expressed consent is given explicitly, either orally or in writing, and is clearly and unmistakably communicated.
Choice B Reason:
Similarly, signing a document of agreement for a research study is another example of expressed consent. The patient is actively agreeing to participate in the study, which is a direct and informed action.
Choice C Reason:
Implied consent occurs when a patient's actions suggest consent without verbal or written confirmation. Offering an arm to a phlebotomist is a non-verbal communication that implies the patient is willing to have their blood drawn. This is a common practice in medical settings where the action of presenting an arm indicates readiness for the procedure.
Choice D Reason:
A family member nodding for a phlebotomist to proceed does not constitute the patient's implied consent. Consent must come directly from the patient unless they are unable to provide it, in which case a legal surrogate may give consent on their behalf.
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