The nurse is caring for a client who has agreed to sign a HIPAA release so that her medical records can be released to her primary health care provider. The client’s pen is malfunctioning, and the nurse hurriedly takes the form with her, intending to return with another pen. The nurse then becomes involved in a code and forgets about the form. The next day, the nurse returns to work and finds the form in her clipboard. Since the client started signing just as the pen quit, the nurse decides that there is enough of a signature on the form to release the information. She sends the medical records to the primary health care provider’s office. Which violation has the nurse committed?

released information to the wrong provider missing signature on form released the wrong client’s information There is no violation.

An RN notices an LPN in the medication room drawing up morphine. The RN asks the LPN who it is for. The LPN states that one of her clients needs pain medication. The RN offers to administer the dose, but the LPN says, “It’s ok. I can give it. I’ve had this client for several days and she is stable.” Which is the correct response by the nurse?

“Let me double-check the dose with you.” “OK, but let me know if you need help with anything.” “I am going to report this to the charge nurse immediately.” “You shouldn’t do that. Let me chart it while you give it to save time.”

The nurse has rounded on all the assigned clients. While rounding, several health care providers have written orders on the nurse’s clients. Which order would be the priority for the nurse to address?

furosemide (Lasix) 80 mg IV push STAT for a client with fluid overload a new insulin sliding scale for a client with a glucose level of 242 perform a dressing change on a client with a stage 2 diabetic foot ulcer discharge a client who was admitted for removal of an abdominal abscess

A new nurse has just completed orientation and is working on the medical unit. The new nurse is shadowing the charge nurse as they both care for a client with a potassium level of 6.3 mEq/L. Which action by the new nurse requires intervention by the charge nurse?

The nurse prepares to administer spironolactone (Aldactone) 25 mg PO. The nurse delivers the client’s morning meal tray for a low-potassium diet. The nurse administers sodium polystyrene sulfonate (Kayexalate) 15 g PO. The nurse teaches the client the importance of ambulating, coughing, and deep-breathing.

The nurse is at the nurses’ station charting when a physician comes up and says, “Since you are already logged into the computer, I need you to look up some labs on a client.” The client is not cared for by this nurse. Which response by the nurse is most appropriate?

“Let me check that for you in a moment.” “Why don’t you call the lab? That will be quicker.” “That is not my client, but I will get his nurse for you.” “I can’t do that because of HIPAA, but I will let the charge nurse look it up.”

A client is scheduled for a hypophysectomy following the discovery of a pituitary gland tumor. The nurse is teaching the client about the procedure. Which statement by the client indicates effective learning? Select all that apply.

“I should brush my teeth with a soft toothbrush.” “I can remove the pad under my nose the next morning.” “I will avoid bending my head down or bending forward.” “I will not blow my nose until cleared by my health care provider.” “I will need to breathe through my mouth due to the nasal…