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Nurses frequently navigate complex requests for protected health information (PHI) from various entities. Match each incoming request for client information with the legally and ethically required nursing response.
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Charge nurses are determining shift assignments on a busy medical-surgical unit. Several clients require specific isolation protocols. Which client requiring transmission-based precautions is most appropriate to assign to the practical nurse?
During the night shift, a client with a urinary tract infection becomes highly agitated and repeatedly tries to swing their legs over the bed rails. Which initial action should the practical nurse take to maintain client safety?
A practical nurse (PN) is reviewing room assignments on a medical unit. A semi-private room is currently occupied by a client who has a confirmed respiratory syncytial virus (RSV) infection. Which of the following clients is most appropriate to place in the remaining bed of this room?
While assisting with an assessment at a community health clinic, a practical nurse observes distinct, linear marks on the back and thighs of an 8-year-old client. The caregiver states, 'He is very uncoordinated and tumbled down a flight of concrete stairs yesterday.' Which action is the most appropriate for the nurse to take?
A client is admitted to the surgical unit directly from the recovery room after undergoing a subtotal thyroidectomy. To promote optimal comfort and prevent postoperative complications, which positioning strategy should the practical nurse implement?
A practical nurse (PN) is caring for a client in the emergency department who suddenly becomes agitated, pacing the hallway, clenching their fists, and shouting at staff. What is the priority action for the nurse to take?
A practical nurse (PN) is working in a community pediatric clinic and is assisting with the physical examination of a 3-year-old child. During the data collection, the PN observes multiple bruise marks in various stages of healing on the child's back and torso. Which of the following actions is legally required of the PN?
A resident in a long-term care facility is frequently attempting to stand up from a wheelchair unassisted, posing a significant fall risk. Which action should the practical nurse take first to prevent injury?
During a morning shift, a practical nurse provides care for a client sharing a semi-private room. Which of the following actions correctly uphold the client's right to privacy and confidentiality? Select all that apply.
Geçerli olan tümünü seçin
A 15-year-old client visits a community clinic seeking screening for a sexually transmitted infection (STI). During the intake interview, the client discloses to the practical nurse (PN) that the sexual contact occurred with their 23-year-old step-sibling who resides in the same household. The client becomes tearful and says, "Please do not tell my parents or anyone else. I was told I have the right to keep STI testing completely private." Which action should the PN take?
A practical nurse (PN) is caring for a client admitted to the medical-surgical floor who is awaiting biopsy results. The client is pacing the room, crying, and states, "I cannot stop worrying. What if I have cancer?" Which of the following responses by the PN is the most therapeutic?
A practical nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 24-year-old female client at a community health clinic. Which assessment is the highest priority for the nurse to complete before administering this live-attenuated vaccine?
A practical nurse (PN) in a long-term care facility is caring for a client who recently learned of a family member's sudden death. The client becomes acutely agitated, begins pacing the hallway rapidly, clenches their fists, and shouts profanities at staff members. Suddenly, the client picks up a heavy dining chair and holds it above their head. Which of the following is the most appropriate immediate action for the PN to take?
A practical nurse (PN) is conducting a home health visit for a 78-year-old client who is non-ambulatory following a severe stroke. The client's adult child is the sole caregiver. During the visit, the PN observes bilateral, fingertip-shaped bruising on the client's upper arms. The client visibly withdraws and trembles when the caregiver enters the room. Suddenly, the caregiver becomes highly agitated, demands that the PN leave the residence immediately, and states they no longer want nursing services. Which action should the PN take first?
A practical nurse (PN) is reviewing the health records of four clients scheduled for immunizations at a community health clinic. The PN should withhold the vaccine and notify the healthcare provider for which client?
During a shift at an acute psychiatric facility, a practical nurse encounters a client who abruptly starts shouting and pacing aggressively in the hallway. Arrange the following nursing actions in the most appropriate chronological sequence to manage this crisis.
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A practical nurse (PN) is collecting baseline data on an 82-year-old client admitted to a medical-surgical unit after a fall. The PN notes that the client is suddenly restless, mildly confused, and has a respiratory rate of 28 breaths/min. Which action should the PN prioritize during data collection?
A practical nurse (PN) is conducting a home health visit for an older adult client and observes unexplained patterned bruising on the client's upper arms. The client appears fearful when their family caregiver enters the room. In which order should the PN take the following actions? Arrange the actions from first to last.
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A practical nurse (PN) observes a client on the psychiatric unit pacing rapidly in the hallway, clenching their fists, and muttering angrily. In which order should the PN implement the following de-escalation interventions? Arrange from first action to last.
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