Nokea
The nurse is at the nurses' station charting when a physician comes up and says, 'Since you are already logged into the computer, I need you to look up some labs on a client.' The client is not cared for by this nurse. Which response by the nurse is most appropriate?
- A. Let me check that for you in a moment.
- B. Why don't you call the lab? That will be quicker.
- C. That is not my client, but I will get his nurse for you.
- D. I can't do that because of HIPAA, but I will let the charge nurse look it up.
Correct Answer: D
Rationale: Accessing a client's lab results without authorization violates HIPAA, as the nurse is not assigned to the client. The charge nurse can ensure proper access.
You may also like to solve these questions
A client diagnosed with Alzheimer's disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer's disease?
- A. pre-Alzheimer's
- B. early/mild
- C. moderate
- D. late to severe
Correct Answer: C
Rationale: Moderate Alzheimer's involves repetitive behaviors, aggression, ADL dependence, and disorientation, as described, indicating significant cognitive decline.
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:
- A. Lack of exercise
- B. Hormonal disturbances
- C. Lack of calcium
- D. Genetic predisposition
Correct Answer: B
Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.
A client has increasing pain in both hands. On examination, the nurse notes that the metacarpophalangeal and proximal interphalangeal joints are enlarged and swollen, swanneck deformity is evident, and the fingers on both hands show ulnar deviation. These findings are consistent with which of the following disorders?
- A. Osteoarthritis
- B. Rheumatoid arthritis
- C. Gouty arthritis
- D. Psoriatic arthritis
Correct Answer: B
Rationale: Swanneck deformity, ulnar deviation, and swollen MCP/PIP joints are classic for rheumatoid arthritis (B). Osteoarthritis (A) affects distal joints, gout (C) causes tophi, and psoriatic arthritis (D) involves skin lesions.
A primigravida with(choices truncated due to document error; assuming standard options for context) diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor's order should the nurse question?
- A. Magnesium sulfate 4 gm (25%) IV
- B. Brethine 10 mcg IV
- C. Stadol 1 mg IV push every 4 hours as needed prn for pain
- D. Ancef 2 gm IVPB every 6 hours
Correct Answer: B
Rationale: Brethine (terbutaline) is a tocolytic that can exacerbate maternal diabetes by causing hyperglycemia, so this order should be questioned in a diabetic primigravida.
The nurse is infusing total parenteral nutrition (TPN) through a peripherally inserted central catheter. The client's TPN was turned off for 1 hour for an MRI. Which action by the nurse is most appropriate for this client?
- A. notify the health care provider for further orders
- B. discard the volume of the TPN that should have been administered and make a note in the chart
- C. double the flow rate on the infusion for 1 hour to keep the TPN on schedule, and then resume the normal flow rate
- D. increase the flow rate on the infusion for two hours to keep the TPN on schedule, and then resume the normal flow rate
Correct Answer: A
Rationale: Notifying the provider ensures proper adjustment of TPN administration, as altering rates or discarding solution can cause metabolic imbalances.