NSG 110 test 5 Questions With Complete Solutions.

NSG 110 test 5 Questions With Complete Solutions. A nurse in documenting patient data in the medical record of a patient admitted to the hospital with a diagnosis of appendicitis. The physician has ordered 10 mg morphine IV every 3 to 4 hours.Which examples of documentation of care for this patient follows recommended guidelines ? Select all that apply. A. 6/12/15 0945 morphine 10mg administered IV. Patients response to pain appears to be exaggerated .M.patrick RN B. 6/12/15 0945 morphine 10 mg administered IV.Patient seems to be comfortable . M.Patrick RN C. 6/12/15 30 min following morphine administion 10 mg Iv. Patient reports 2 out of 10 pain. M.Patrick RN D. 6/12/15 0945 Patient reports severe pain in right lower quadrant.M.Patrick.RN E. 6/12/15 0945 morphine 10mg Iv will be administered to patient every 3 to 4 hours .M.Patrick.RN F.6/12/15 0945 patient states she does not want pain medication despite return of pain. After discussing situation, patient agrees - answerC,D,F A nurse is documenting the care given to a 56 year old patient diagnosed with osteosarcoma , whose right leg was amputated. The nurse accidentally documents that a dressing change was performed on the left leg. What would be the best action of the nurse to correct this documentation? A. Erase or use corrective fluid to completely delegate the error B. Draw a single line through the entry and rewrite above or below it C. Use a permanent marker to black out the mistake entry and rewrite it D. Remove the page with the error and rewrite the data on that page correctly - answerB A nurse is discharging a patient from the hospital following a heart stent procedure. The patient asks to see and copy his medical record. What is the nurse's best response? A. "I'm sorry, but patients are not allowed to copy their medical records" B. " I can make a copy of your record for you right now" C. " you can read your record while you are a patient but copying records is not permitted according to HIPPA" D. " i will need to check with our records department to get you a copy" - answerD According to the Health Insurance portability and accountability act of 1996, if a health institution wants to release a patients health information (PHI) for purposes other than treatment, payment, and routine health care operations , the patient must be asked to sign an authorization. the nurse is aware that there are exceptions to this requirement. In which of the following cases is authorization form not needed? Select all that apply A.news media are preparing a report on the condition of a public figure B. Data are needed for tracking and notification of disease outbreaks C. Protected Health information is needed by a coroner D. Child abuse and neglect are suspected E. Protected health information I'd needed to facilitate organ donation F. The sister of a patient with Alzheimer's disease wants to help provide care - answerB,C,D,E A friend of a nurse calls and asks if she is still working at Memorial Hospital. The nurse replies, "Yes." The friend tells the nurse that his girlfriend's father was just admitted as a patient and he wants the nurse to find out how he is. The friend states, "Sue seems unusually worried about her dad, but she won't talk to me and I want to be able to help her." What is the best initial response the nurse should make? a. "You shouldn't be asking me to do this. I could be fined or even lose my job for disclosing this information." b. "Sorry, but I'm not able to give information about patients to the public—even when my best friend or a family mem- ber asks." c. "Because of the Health Insurance Portability and Account- ability Act, you shouldn't be asking for this information unless the patient has authorized you to receive it! This could get you in trouble!" d. "Why do you think Sue isn't talking about her worries?" - answerB