The nursing faculty informs the nursing students to be prepared ...

[charchew]

The nursing faculty informs the nursing students to be prepared to do which one of the following regarding access to client records?
 
  a. Show nursing staff student identification.
  b. Sign a confidentiality agreement prior to clinical placement.
  c. Review the medical record only in the presence of unit staff.
  d. Obtain permission from the client to access her medical record.

Question 2

A nurse is educating a patient on how to irrigate an ostomy bag. Which statement by the patient indicates the need for further instruction?
 
  a. I can use a fleet enema to save money because it contains the same irrigation solution.
  b. Sitting on the toilet lets the irrigation sleeve eliminate into the bowl.
  c. I should never attempt to reach into my stoma to remove fecal material.
  d. Using warm tap water will reduce cramping and discomfort during the procedure.

[aham8f]

Answer to Question 1

B
Nursing students may be required to sign confidentiality agreements, prior to their clinical placement, with the health care agency. Students need to understand the practice standards and laws around confidentiality.
When nurses and other health care professionals have a legitimate reason to use records for data gathering, research, or continuing education, they obtain appropriate authorization according to agency policy. Nursing students and faculty may be required to present identification indicating authorized access to the client record. Providing specific facility identification may be required for the student to access records.
Reviewing medical records is subject to agency policy.
Obtaining permission from the client to access her medical records is not an appropriate action.

Answer to Question 2

A
Enema applicators should never be used in the stoma because they can cause damage. A special coned irrigation device is used for ostomies. Irrigating a stoma into the toilet is an effective management technique. Fingers and other objects should not be placed into the stoma because they may cause trauma to the intestinal wall. Warm tap water will reduce cramping during irrigation.

[charchew]

Excellent

[kswal303]

TYSM