Nokea
The office manager schedules a mandatory staff meeting for all nursing personnel. As the nurse enters the room, several documents containing the client's name, medical records number, mammogram results, and diagnosis are found unattended on the table. Which nursing actions are appropriate in this situation? Select all that apply.
- A. Notify housekeeping to come and dispose of the papers.
- B. Toss the papers in the trash.
- C. Put the papers into the shredder bin.
- D. Try to determine who left the papers unattended.
- E. State the papers neatly, placing them off to the side.
- F. Notify the office manager of the breach in confidentiality.
Correct Answer: C,F
Rationale: Shredding the papers ensures secure disposal of protected health information (PHI), and notifying the office manager addresses the confidentiality breach, as required by HIPAA regulations.
You may also like to solve these questions
The nurse is caring for a client with epididymitis secondary to a chlamydia infection. Which discharge instruction should the nurse discuss?
- A. The sexual partner must be prescribed antibiotics.
- B. Delay sexual intercourse for a minimum of three (3) months.
- C. Expect the urine to have white clumps for one (1) to two (2) months.
- D. Drainage from the scrotum is fine as long as there is no fever.
Correct Answer: A
Rationale: Chlamydia-related epididymitis requires partner treatment to prevent reinfection. Prolonged abstinence, white clumps in urine, and scrotal drainage are not expected.
Today, the physician orders that the client's catheter can be removed. Which action is most important for the nurse to perform first?
- A. Clean the client's labia with soap and water.
- B. Measure the urine in the drainage bag.
- C. Remove the fluid from the balloon.
- D. Disconnect the client's catheter and drainage bag.
Correct Answer: C
Rationale: Deflating the balloon is essential to safely remove the catheter without causing trauma to the urethra.
If the client is asymptomatic and at low risk for breast cancer, the nurse would be correct in advising her to have a baseline mammogram at what age?
- A. 35
- B. 45
- C. 50
- D. 55
Correct Answer: C
Rationale: The American Cancer Society recommends that women at average risk for breast cancer begin annual mammograms at age 45, but a baseline mammogram may be considered at age 40-50 depending on guidelines. For low-risk, asymptomatic women, age 50 is often the standard starting point for routine screening.
Which assessment findings recorded by the nurse indicate high risk factors for developing breast cancer? Select all that apply.
- A. The client began menstruating before age 12.
- B. The client had three full-term pregnancies.
- C. The client has a very large breast.
- D. The client has had radiation treatment to the chest.
- E. The client has had breast implants.
Correct Answer: A,D
Rationale: Early menarche (before age 12) and chest radiation exposure are established risk factors for breast cancer due to prolonged estrogen exposure and DNA damage, respectively. Multiple pregnancies reduce risk, and breast size or implants are not significant risk factors.
When the client asks where the laparoscope will be inserted, the nurse correctly identifies which structure?
- A. Abdomen
- B. Vagina
- C. Uterine cervix
- D. Uterine fundus
Correct Answer: A
Rationale: For endometriosis, a laparoscope is inserted through a small abdominal incision to visualize and remove ectopic tissue.