nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Tell the nurse that permission from the risk manager is required to view the client's record.
Remind the nurse that only staff caring for the client may access the client's record.
Complete an incident report about the breach of confidentiality.
Contact facility security to remove the nurse from the unit.
The Correct Answer is B
A. While it is important to restrict access to medical records, it is not solely the risk manager's role to give permission; the policy should be followed regarding patient information access.
B. Reminding the nurse that only those directly involved in the client's care should access their medical record upholds confidentiality and patient privacy standards.
C. Completing an incident report is a more formal step and might be warranted later, but initially addressing the behavior directly is more appropriate.
D. Contacting security would be an extreme response; addressing the situation with the nurse first is typically the best course of action.
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Correct Answer is C
Explanation
A. Turning off bedside alarms is unsafe, as they are crucial for monitoring the client’s condition.
B. Avoiding the client’s room entirely could lead to missed opportunities to assess and address their needs.
C. Conducting staff communications away from the client's room can reduce noise and create a more restful environment.
D. Turning on the TV may add to the noise and is unlikely to promote restful sleep.
Correct Answer is B
Explanation
A. Clasping hands behind the body can risk contamination; maintaining a sterile field is crucial.
B. Interlocking fingers and holding hands away from the body above the waist prevents contamination of the gloves and maintains a sterile technique.
C. Keeping hands at the sides may not adequately protect the sterile field; hands should be positioned to minimize contamination risk.
D. Placing hands over the gown may not be appropriate as it does not ensure that the gloves remain sterile and free from contamination.