Which of the following actions by the nurse would be a violation of the patient's right to privacy?

Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record.

Giving change of shift report to the oncoming RN and CNA at the patient's bedside.

Explaining the meaning of an advanced directive.

Looking up the lab results for a neighbor's former spouse.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Entering a copy of the patient's physician's orders for life-sustaining treatment in the electronic medical record is not a violation of privacy. It is standard practice to document such orders to ensure all healthcare providers are aware of the patient's wishes.

Choice B rationale

Giving change of shift report to the oncoming RN and CNA at the patient's bedside, with the patient's consent, is not a privacy violation. It ensures continuity of care and involves the patient in their care plan.

Choice C rationale

Explaining the meaning of an advanced directive to the patient is part of patient education and is not a violation of privacy. It is essential for patients to understand their options for future healthcare decisions.

Choice D rationale

Looking up the lab results for a neighbor's former spouse without a legitimate reason is a breach of privacy. Nurses must only access patient information that is necessary for their job role and responsibilities.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Orthopnea, or shortness of breath when lying flat, is a classic symptom of heart failure. Patients often need to sleep in an elevated position to ease breathing, which indicates a potential worsening of heart function that needs urgent evaluation.

Choice B rationale

Night sweats and overall diaphoresis can be symptoms of myocardial infarction (heart attack) or other acute cardiac conditions. This requires prompt medical assessment to prevent further cardiac events or complications.

Choice C rationale

Nocturnal angina, or chest pain at night, can indicate a severe underlying cardiac issue such as unstable angina or coronary artery disease. This symptom warrants immediate cardiac evaluation to manage and mitigate potential risks.

Choice D rationale

Headaches after eating are not typically associated with cardiac issues but may relate to other conditions such as hypoglycemia or migraines. This symptom alone does not usually prompt immediate cardiac evaluation.

Choice E rationale

Postprandial somnolence, or sleepiness after eating, is generally not linked directly to cardiac status but rather to digestive or metabolic processes. This symptom is less likely to require urgent cardiac assessment. .

A. Maintain clean technique during catheter insertion. B. Advocate for removal of indwelling catheters as soon as possible. C. Use interventions that help clients to avoid initial catheterization. D. Ensure fluid intake within client limitations. E. Maintain urine collection bag at the level of the bladder.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Maintaining a clean technique during catheter insertion reduces the risk of introducing pathogens into the urinary tract. This helps prevent urinary tract infections (UTIs) by minimizing contamination.

Choice B rationale

Advocating for the removal of indwelling catheters as soon as possible is crucial because prolonged catheterization increases the risk of UTIs. Removing the catheter when it is no longer needed reduces exposure to potential infections.

Choice C rationale

Using interventions that help clients avoid initial catheterization decreases the likelihood of introducing pathogens into the urinary tract. Alternatives to catheterization, such as bladder training and intermittent catheterization, can reduce infection risk.

Choice D rationale

Ensuring fluid intake within client limitations helps maintain hydration and urine flow. Adequate fluid intake helps flush out bacteria from the urinary tract, reducing the risk of UTIs.

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Which of the following actions by the nurse would be a violation of the patient's right to privacy?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C"]

Explanation

Urinary tract infections associated with indwelling catheters are a major component of hospital-associated infections. What must nurses do to help decrease the incidence of these infections in their clients? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","D"]

Explanation

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