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What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?
- A. To provide health insurance coverage for all Americans.
- B. To ensure the confidentiality of health information.
- C. To reduce the cost of healthcare.
- D. To increase access to healthcare services.
Correct Answer: B
Rationale: The primary purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to ensure the confidentiality and security of health information. HIPAA establishes national standards to protect individuals' medical records and other personal health information. By safeguarding the privacy of health data, HIPAA aims to maintain the integrity and confidentiality of sensitive patient information, preventing unauthorized access and disclosure. This focus on privacy and security helps build trust between patients and healthcare providers, ensuring that personal health information is handled responsibly and ethically.
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A healthcare professional is preparing to insert an IV catheter for an older adult client. Which of the following actions should the professional take?
- A. Shave the hair at the insertion site.
- B. Insert the catheter at a 45-degree angle.
- C. Place the client's arm in a dependent position.
- D. Use a tourniquet to dilate the veins.
Correct Answer: C
Rationale: Placing the client's arm in a dependent position is the correct action when preparing to insert an IV catheter in an older adult client. This position helps dilate the veins naturally by using gravity, making it easier to locate and access suitable veins for the IV catheter insertion. By positioning the arm in a dependent position, the healthcare professional can take advantage of gravity to increase venous distention, aiding in successful IV catheter insertion.
What is a true statement about caring for a client with a nasogastric (NG) tube?
- A. The NG tube should be flushed with 30 mL of water every 4 hours.
- B. The client should be positioned in a supine position.
- C. The NG tube should be advanced 5 cm if resistance is met.
- D. The client's nasal mucosa should be inspected daily.
Correct Answer: A
Rationale: Flushing the NG tube with 30 mL of water every 4 hours is crucial to maintain its patency and prevent blockages. This routine ensures the tube stays clear and functional, enabling proper delivery of medications and nutrition to the client. Regular flushing also helps prevent residue buildup or clogs within the tube, reducing risks like aspiration or inaccurate medication dosing.
A client has been prescribed enoxaparin. Which of the following instructions should the nurse include?
- A. You need to obtain routine blood tests to monitor the effects of this medication.
- B. You should administer the medication into your thigh.
- C. You should inject the medication once daily.
- D. You need to use a 1-inch needle to administer the medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What action should a healthcare provider take for a client with a new colostomy?
- A. Empty the colostomy bag when it is half full.
- B. Place aspirin in the colostomy bag to decrease odor.
- C. Use sterile technique when caring for the stoma.
- D. Change the pouch every 8 hours.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client has a new prescription for digoxin, and a nurse is providing teaching. Which of the following client statements indicates an understanding of the teaching?
- A. I will take my pulse before taking this medication.
- B. I will take this medication with an antacid.
- C. I will double the dose if I miss one.
- D. I will avoid eating bananas.
Correct Answer: A
Rationale: The correct answer is A because taking the pulse before administering digoxin is crucial as the medication can cause bradycardia. Monitoring the pulse helps in identifying any signs of bradycardia, a common side effect of digoxin. Options B, C, and D are incorrect. Taking digoxin with an antacid may interfere with its absorption. Doubling the dose if a dose is missed can lead to overdose and adverse effects. Avoiding bananas is not specifically related to digoxin therapy.