The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

EMR tracking alerts the hospital information systems of the nurse's attempts to access the record.

Encourage the friend to share her concerns with her daughter and other family members.

EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client.

The daughter's permission needs to be obtained before the information can be shared by the nurse.

Review of the EMR violates client confidentiality and is not permitted legally or ethically.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.

Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.

Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.

Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.

Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.

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Correct Answer is D

Explanation

Choice A reason: Systemic inflammatory response is more characteristic of rheumatoid arthritis rather than osteoarthritis.

Choice B reason: Infectious process in the synovial fluid suggests septic arthritis, not osteoarthritis.

Choice C reason: Loss of bone mineral density is related to osteoporosis, not specifically to osteoarthritis.

Choice D reason: Osteoarthritis is characterized by the destruction of joint cartilage, leading to pain and stiffness in the affected joints.

A. Apical heart rate. B. Pulse pressure. C. Level of consciousness. D. Blood pressure.

Correct Answer is D

Explanation

Choice A reason: The apical heart rate is important for other assessments but does not directly assess for orthostatic hypotension.

Choice B reason: Pulse pressure is not specifically related to orthostatic hypotension assessment.

Choice C reason: Level of consciousness can be affected by orthostatic hypotension but is not the primary assessment.

Choice D reason: Blood pressure should be measured in both lying and standing positions to assess for orthostatic hypotension.

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The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

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Naxlex Comprehensive Predictor Exams

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes which pathology as the cause of the symptoms?

Correct Answer is D

Explanation

The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?

Correct Answer is D

Explanation

The nurse is completing the admission assessment of a client with multiple sclerosis (MS). Which finding(s) should be reported to the healthcare provider immediately? Select all that apply.

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

The nurse is planning discharge instructions for a client with type 2 diabetes mellitus who will be starting exenatide. Which information should be included in the discharge instructions?

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

The healthcare provider prescribes a 5% dextrose injection with 20 units of regular insulin for a client with a serum potassium level of 6.0 mEq/L (6.0 mmol/L) and glucose level of 180 mg/dL (10.0 mmol/L). Which evaluation is most important for the nurse to include in this client's plan of care?

A client with deep vein thrombosis (DVT) is receiving a continuous heparin IV infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.