Which of these observations by the nurse would require taking action for breach of confidentiality?
a. Use of patient initials on nurse's assignment worksheet
b. A nurse asking an unknown physician for identification
c. A physician asking a nurse if a friend has cancer
d. A nurse reviewing charts of assigned patients for orders
ANS: C
C. Nurses are obligated to discuss the patient only under circumstances in which it is necessary to deliver high-quality health care according to Health Insurance Portability and Accountability Act (HIPAA). A, B, and D are not breaches of confidentiality.
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Which is not a teaching point that the nurse would include when instructing a client to perform breathing exercises?
1. Breathing in deeply through the nose with the mouth closed 2. Avoiding arching the back 3. Holding the breath for 30-40 seconds 4. Breathing out slowly
The nurse is preparing to assess a patient admitted for treatment of bilateral pleural effusions. On what should the nurse focus when assessing this patient?
Select all that apply. 1. Urine output 2. Cardiac rate and rhythm 3. Joint function and mobility 4. Muscle tone and movement 5. Peripheral pulses and edema
A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens' group
Which of the following assessment questions is directed toward the most likely cause of the problem? 1. "Did the bus stop frequently so you could get up and walk around?" 2. "Did you eat enough fiber while you were on the trip?" 3. "Do you find using public restrooms unsettling?" 4. "Do you have any chronic bowel-related problems?"
The nurse is caring for a patient who has gastroesophageal reflux disease (GERD). Which patient statement would indicate a need for nutritional instruction?
a. "Nutrition can affect health positively or negatively." b. "I should drink milk, as it is the perfect food." c. "Excessive intake of a nutrient can interfere with others." d. "Classes of nutrients are carbohydrates, fats, proteins, vitamins, minerals, and water."