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:
The left antecubital area is the correct site to perform venipuncture on a patient who has had a right-sided mastectomy. It is recommended to avoid the side of the mastectomy due to the risk of lymphedema and other complications associated with the removal of lymph nodes during the surgery. The left antecubital fossa, which is the area in front of the elbow, is a common site for venipuncture and is generally safe for use when the right side cannot be used.
Choice B reason:
The right cephalic vein should be avoided in a patient with a right-sided mastectomy. Venipuncture on the same side as the mastectomy can increase the risk of complications, including lymphedema, which is a condition characterized by swelling due to lymph fluid accumulation. Therefore, the right cephalic vein is not an appropriate choice.
Choice C reason:
The left femoral artery is not a venipuncture site; it is an arterial site. Venipuncture refers to accessing a vein, not an artery, for blood collection. Additionally, arterial puncture is a more invasive procedure typically reserved for arterial blood gas analysis and is not performed for routine venipuncture.
Choice D reason:
Similar to choice B, the right basilic vein should be avoided for venipuncture in a patient who has had a right-sided mastectomy. The basilic vein is located on the inner side of the arm and using it could pose the same risks as using the right cephalic vein, including the potential for lymphedema.
Correct Answer is C
Explanation
Choice A reason:
A sodium level test is important for managing and monitoring a patient's electrolyte balance, particularly in critical care settings. However, a DNR order indicates that the patient has chosen not to undergo CPR, not necessarily that their condition is the most critical at the moment. Therefore, while important, it may not be the most urgent sample to process.
Choice B reason:
Postoperative monitoring of hemoglobin and hematocrit levels is crucial for detecting possible hemorrhage and ensuring proper recovery. However, unless there is an immediate concern for acute blood loss or other complications, these tests may not be as urgent as a stat test from the emergency room.
Choice C reason:
A stat potassium level is typically ordered when there is an urgent need to assess a patient's potassium due to conditions that can rapidly affect heart rhythm and muscle function. In the emergency room setting, where patients often present with acute and life-threatening conditions, stat tests are prioritized to provide rapid results that can influence immediate clinical decisions.
Choice D reason:
Peak antibiotic levels are measured to ensure therapeutic efficacy and to avoid toxicity. While important for managing a patient's treatment, especially for those who are NPO (nothing by mouth), it may not be as time-sensitive as a stat test required for an acute emergency.
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