Answer to Question 1
2. Do not place any electrical items over the pacemaker insertion site.
Rationale:
The client should be instructed not to place any electrical items over the pacemaker insertion site; doing so could cause the pacemaker to malfunction. There are special precautions for the client to be aware with a permanent pacemaker. The client should wear loose-fitting clothing. Dizziness is not to be expected and should be reported to the health care provider.
Answer to Question 2
4. Communicate only necessary information
Rationale:
HIPAA includes standards that protect the confidentiality, integrity, and availability of data as well as standards that define appropriate disclosures of identifiable health information and patient rights protection. Nurses are entrusted with sensitive information, which at times must be revealed to other health care personnel in order to provide appropriate health care. In this case, the nurse may be required to report information to the state health department. Clients must be able to trust that their information is secure and will only be shared with appropriate entities. Nurses should not make promises to keep necessary information private.