Which of the following actions is the nurse’s priority?Ĭ. Request a prescription for placement of a central venous access device.ħ.Ě client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Remove the catheter and insert another into a different site.Ĭ. Which of the following actions should the nurse take?Ī. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?Ħ.Ě nurse is preparing a client for outpatient surgery. During the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. The family of an older adult client brings him to the emergency department after finding him wandering outside. Secure the restraints to the lowest bar of the side rail.ĭ.Ěnticipate removing the restraints every 4 hr.ĥ. Secure the restraints using a quick-release tie.ī.Ğnsure four fingers fit under the restraints to prevent constriction.Ĭ. Instruct the client to stay in the same position for 2 min.Ĥ.Ě newly licensed nurse is applying prescribed wrist restraints on a client. Hold the dropper 2 cm (1 in) above the naris.ĭ. Tell the client to blow her nose gently before the instillation.ī.Ěssist the client to a side-lying position.Ĭ. Hold the hands higher than the elbows.ģ.Ě nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?Ī.Ědjust the water temperature to feel hot.ī.Ěpply 4 to 5 mL of liquid soap to the hands.Ĭ. "HIPAA is a federal law, not a state law."Ģ.Ě nurse is preparing to perform hand hygiene. "A client's address would be an example of personally identifiable information."ĭ. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form."Ĭ. "Information about a client can be disclosed to family members at any time."ī. ng statements by the newly licensed nurse indicates a need for further teaching?Ī.
1.Ě nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse.
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