NCLEX-PN

Correct Response: D (A, B, D, E) Explanation: The correct response is (D) (A, B, D, E). The Rights of Medication Administration include the right client, right drug, right dose, right route, and right time. These principles are crucial in ensuring safe and effective medication administration. An additional right that is sometimes included is the right documentation, emphasizing the importance of accurately recording the administration process. Therefore, the comprehensive set of rights comprises the right drug, right dose, right client, right route, right time, and right documentation. (See Guiding Principles of Medication Administration ) 24. If the LPN posts comments or anecdotes on social media that include identifying information about clients, what are the grounds for firing the LPN?

A.​ The LPN violated the law. B.​ The LPN was negligent. C.​ The LPN was unethical. D.​ The LPN violated a pledge.

Correct Response: A Explanation: The correct answer is A - The LPN violated the law. Posting comments or anecdotes on social media that include identifying information about clients constitutes a violation of the Health Insurance Portability and Accountability Act (HIPAA). This law is designed to safeguard the privacy and confidentiality of all medical information, encompassing written, oral, electronic, and personal identity information. Disclosing identifiable details about clients on social media platforms not only breaches professional ethical standards but, more critically, it infringes upon the legal protections mandated by HIPAA. The incorrect responses, such as citing negligence, ethics, or a pledge violation, do not capture the specific legal gravity associated with violating HIPAA regulations, which is essential for healthcare professionals to understand and adhere to in order to maintain the confidentiality and trust of their clients.(See Client Rights ) 25. The LPN is assisting the client in collecting a clean catch urine sample. Which of the following directions is not appropriate for this procedure? A.​ “You will need to wear sterile gloves for this procedure.” B.​ “You will begin to urinate into the toilet and then stop; you will then urinate into the container about 10-15 mL.”

C.​ “Avoid touching the inside rim of the container.” D.​ “You will clean the perineal area prior to urinating.” Correct Response: A

Explanation : The correct answer is (A) "You will need to wear sterile gloves for this procedure." Sterile gloves are not necessary for collecting a clean catch urine sample. The appropriate directions for this procedure include instructing the client to begin urinating into the toilet, then stop and collect the midstream urine into the container (B) . Additionally, advising the client to avoid touching the inside rim of the container (C) and cleaning the perineal area prior to urinating (D) are essential steps to maintain the sterility of the collected sample. The incorrect direction, wearing sterile gloves, is unnecessary for

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