The practical nurse (PN) is working with a newly hired PN on a medical surgical unit. Which action performed by the newly hired PN requires intervention by the PN?
Providing healthcare information by report to the client's physical therapist.
Informing clergy that a church member has been admitted to the facility.
Posting client names and healthcare providers on hospital room doors.
Requesting clients to sign their name on a roster at the front desk.
The Correct Answer is C
A. Providing healthcare information by report to the client's physical therapist: Sharing relevant medical information with members of the healthcare team involved in the client’s care is appropriate and complies with HIPAA regulations.
B. Informing clergy that a church member has been admitted to the facility: Many facilities allow disclosure to clergy with client consent or if the client has requested spiritual support. However, confidentiality must always be maintained, and identifying details should only be shared as permitted by policy.
C. Posting client names and healthcare providers on hospital room doors: Displaying personal health information publicly violates the client’s right to confidentiality under HIPAA. Such postings can expose sensitive details to unauthorized individuals and must be avoided to protect client privacy.
D. Requesting clients to sign their name on a roster at the front desk: This is generally acceptable for administrative purposes such as registration or appointment confirmation, as long as no medical details are visible to others. The practice should still ensure compliance with facility privacy standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Convey that their loved one's condition is very critical, and there has been no response in the last 24 hours: While accurate, providing detailed prognostic information or implying imminent death is beyond the PN’s scope and may cause unnecessary distress.
B. Relay that the nurses have not been able to arouse the client and the healthcare provider knows the outcome: Sharing partial or speculative information can lead to confusion and anxiety. The PN should avoid giving definitive prognoses.
C. Explain the client's extremely critical condition and ask if funeral arrangements have been made: Discussing end-of-life arrangements is inappropriate for the PN to initiate and may be distressing and premature without guidance from the healthcare team.
D. Refer the family to the charge nurse to discuss the client's condition in a family conference: The charge nurse or healthcare provider is responsible for providing detailed updates and supporting the family. Referring the family ensures accurate information is given in a controlled, supportive setting, aligning with professional scope and ethical practice.
Correct Answer is D
Explanation
A. Perform a daily whisper test of the client's hearing to detect symptoms of ototoxicity: Ototoxicity is associated with certain antibiotics and loop diuretics, not tramadol. Hearing assessment is not a priority intervention for this client receiving tramadol.
B. Examine the client for stomatitis and erosion of tooth enamel: Stomatitis and tooth enamel erosion are linked to chronic use of acidic medications or poor oral hygiene, not tramadol. These assessments are unrelated to the prescribed opioid therapy for pain.
C. Ensure peak and trough serum levels are collected with the third medication dose: Peak and trough monitoring is relevant for medications with narrow therapeutic windows, such as aminoglycosides or anticonvulsants, not tramadol. Routine serum monitoring is unnecessary.
D. Implement ongoing assessments for signs of shallow or slow breathing: Tramadol is an opioid analgesic that can cause respiratory depression. Monitoring for shallow, slow, or irregular breathing is essential to ensure client safety, especially in clients experiencing pain that may already alter normal respiratory patterns.
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