Author Question: Which of the following instructions should the nurse give a client who is scheduled for permanent ... (Read 138 times)

Mr3Hunna · **on:** Jul 22, 2018

Which of the following instructions should the nurse give a client who is scheduled for permanent pacemaker insertion?

1. There are no special precautions.
2. Do not place any electrical items over the pacemaker insertion site.
3. Wear a tight-fitting shirt to help hold the pacemaker in place.
4. Dizziness is to be expected.

Question 2

A client comes to the clinic and is found to have an STD (sexually transmitted disease). The client states to the nurse, Promise you won't tell anyone about my condition..

The nurse, according to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, must do which of the following? 1. Honor the client's wishes
2. Not disclose any information to anyone
3. Respect the client's privacy and confidentiality
4. Communicate only necessary information

carlsona147 · **Reply #1 on:** Jul 22, 2018

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.