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Which of these statements related to information technology is accurate?
- A. Social networks and cell phone cameras pose low risk in terms of information technology security and confidentiality.
- B. The security of technological data and information in healthcare environments is most often violated by those who work there.
- C. The security of technological data and information in healthcare environments is most often violated by computer hackers.
- D. Computer data deletion destroys all evidence of the data.
Correct Answer: B
Rationale: The most common breaches of healthcare data security occur internally by staff , through actions like unauthorized access or improper handling of information, rather than external hackers or low-risk social media . Data deletion does not always destroy all evidence.
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The nurse is caring for a client with an injury to the thalamus. The nurse should plan to:
- A. Give higher doses of pain medication.
- B. Keep patches on the client's eyes to prevent corneal abrasion.
- C. Monitor the temperature of the bathwater.
- D. Avoid turning the client.
Correct Answer: C
Rationale: The thalamus regulates body temperature, so an injury may impair thermoregulation. Monitoring bathwater temperature prevents burns or discomfort. Pain medication, eye patches, or avoiding movement are not directly related to thalamic injury.
A tour bus has overturned on an exit ramp. Many passengers are injured, but there are no fatalities. While the emergency department nurse prepares for treating the injured, the nurse also calls the crisis nurse based on the understanding about which of the following?
- A. The accident victims will be experiencing grief and mourning.
- B. Many of the passengers may be experiencing feelings of victimization.
- C. There is a need for someone to coordinate calls from relatives about the passengers.
- D. Some of the passengers will need psychiatric hospitalization.
Correct Answer: B
Rationale: A crisis nurse can address feelings of victimization, a common psychological response to traumatic accidents, providing emotional support.
Which anatomical site and method should the nurse use to administer an injection of iron to a client?
- A. Deltoid muscle using an air lock
- B. Gluteal muscle using Z-track technique
- C. Anterolateral thigh with 5/8-inch needle
- D. Subcutaneous tissue of the abdomen with 5/8-inch needle
Correct Answer: B
Rationale: The correct technique for administering parenteral iron is deep in the gluteal muscle using Z-track technique to minimize the possibility of staining or irritating the tissues. Administering iron subcutaneously or with a short needle and using the deltoid muscle is contraindicated because of iron's irritating nature.
The nurse is teaching a client with asthma about the use of a peak flow meter. Which of the following instructions should be included?
- A. Use the meter only when symptoms are present.
- B. Record the highest of three readings.
- C. Clean the meter with soap and water weekly.
- D. Blow into the meter as slowly as possible.
Correct Answer: B, C
Rationale: Recording the highest of three readings ensures accuracy, and cleaning the meter weekly prevents contamination.
A 57-year-old Hispanic woman with breast cancer who does not speak English is admitted for a lumpectomy. Her daughter, who speaks English, accompanies her. In order to obtain admission information from the client, what should the nurse do?
- A. Add the client's daughter to serve as an interpreter.
- B. Ask one of the Hispanic nursing assistants to serve as an interpreter.
- C. Use the limited Spanish learned in high school along with nonverbal communication.
- D. Obtain a trained medical interpreter.
Correct Answer: D
Rationale: A trained medical interpreter is required to ensure safety, accuracy of history data, and client confidentiality. The medical interpreter knows the client's rights and is familiar with the client's culture. Using the family member as interpreter violates the client's confidentiality. Using the nursing assistant or limited Spanish and nonverbal communication reduces the accuracy of interpretation and back-translation into English.