Which of the following actions can result in a violation of patient privacy?
Submitting laboratory results to the representative for workers' compensation
Discussing laboratory results with a patient's partner
Providing diagnosis codes to a patient's insurance company
Printing a patient's full name on the specimen label
The Correct Answer is B
Choice A Reason:
Submitting laboratory results to the representative for workers' compensation is generally not a violation of patient privacy. This action is often necessary as part of the claims process and is typically done with the patient's consent or as mandated by law.
Choice B Reason:
Discussing laboratory results with a patient's partner without the patient's explicit consent is a violation of patient privacy. Confidentiality is a fundamental principle in healthcare, and disclosing health information to unauthorized individuals, including family members, breaches that confidentiality.
Choice C Reason:
Providing diagnosis codes to a patient's insurance company is a standard procedure and is not considered a violation of patient privacy. This information is necessary for the insurance company to process claims and provide coverage for medical services.
Choice D Reason:
Printing a patient's full name on the specimen label is standard practice and does not violate patient privacy. This is done to ensure that the specimen is correctly identified and matched to the patient, which is critical for accurate diagnosis and treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
The recommended heel stick depth of 2.0 mm is based on the need to minimize the risk of injury to the infant. Penetrating deeper than this can increase the likelihood of hitting bone, which in infants can be as close as 2.0 mm under the skin of the plantar surface of the heel. This depth is sufficient to obtain a blood sample without risking injury to deeper tissues or bone.
Choice B Reason:
A depth of 2.5 mm may be too deep for some infants, especially preterm or very small infants, where the calcaneus (heel bone) is closer to the surface. While this depth might still be safe for some infants, it does not provide the same margin of safety as the 2.0 mm recommendation and could potentially lead to bone puncture or other injuries.
Choice C Reason:
A depth of 3.0 mm significantly increases the risk of bone puncture, especially in infants with less subcutaneous fat or in those who are preterm. This depth could easily breach the protective layer of skin and subcutaneous tissue, leading to a higher risk of osteomyelitis, an infection of the bone, which can be a serious complication in infants.
Choice D Reason:
A depth of 3.5 mm is considered too deep for a heel stick procedure and is likely to cause injury to the infant. This depth would almost certainly penetrate the bone in most infants, leading to severe pain, potential for infection, and other complications. It is well beyond the safe range recommended by CLSI and should be avoided.
Correct Answer is D
Explanation
Choice A Reason:
Encouraging the patient to chew gum during the procedure may serve as a distraction, which can be helpful for some patients. However, this is not a widely recommended practice for reducing needle phobia. Distraction techniques can be beneficial, but they should be tailored to the individual patient's preferences and should not interfere with the procedure.
Choice B Reason:
Instructing the patient to lie supine during the procedure can help prevent fainting and reduce anxiety for some patients. This position is often used for patients who have a history of fainting or feel dizzy during blood draws. However, it is not specifically targeted at managing needle phobia.
Choice C Reason:
Placing the patient's elbow joint at 90 degrees of flexion is a standard practice to stabilize the arm and provide an optimal angle for venipuncture. While this is a necessary step in the procedure, it does not directly address the patient's needle phobia.
Choice D Reason:
Warming the site for 10 minutes before venipuncture is a technique used to enhance vein visibility and elasticity, making the venipuncture easier and potentially less painful. This can be particularly helpful for patients with needle phobia, as a smoother and quicker procedure may reduce anxiety and discomfort.
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