When a school nurse reports suspected child abuse, there is a breach of confidentiality. This breach is allowed because of:
a. Civil immunity
b. Sovereign immunity
c. Nurse practice act
d. Respondeat superior
A
The law mandates that a health professional breach patient confidentiality norms to protect someone who may be in a helpless or vulnerable position.
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The nurse is providing care to a client diagnosed with respiratory syncytial virus (RSV) bronchiolitis. Which assessment finding indicate that treatment has been effective?
A) Client ingesting small amounts of clear fluids when encouraged B) Client resting in bed with limited interest in play or activities C) Client respiratory rate within normal limits for age D) Client coughing copious amounts of green sputum and requires occasional suctioning.
The geriatric nurse identifies the patient with the greatest risk of immunosuppression as
a. having a roommate infected with MRSA. b. having numerous oral mucosal ulcers. c. receiving treatment for rheumatoid arthri-tis. d. being cognitively impaired.
A client tells a family member that she does not like her nurse because he does not talk when he comes into the room and states she will not call for help even if she needs it
Which of the following does this client's observation and plan suggest? 1. The nurse will not be aware of the client's clinical status, which could lead to a safety issue. 2. The client is misunderstanding the nurse's silence. 3. The nurse is hiding the client's true health status. 4. The client is being overly sensitive and should ignore the nurse's silence.
Upon auscultation, the nurse hears a whooshing sound at the fifth intercostal space. The nurse recognizes that this sound is
a. The beginning of the systolic phase. b. The opening of the aortic valve. c. S3, the third heart sound. d. Regurgitation of the mitral valve.