A 18-year-old male client is admitted to the hospital with a possible drug overdose. His mother requests to know the results of the toxicology screen test. Which response is best for the nurse to provide?
"Only your son can decide to who the laboratory results can be shared with."
"I can give you those results as soon as I get them back from the laboratory."
"I need to wait for the results of other tests before I can share the information to you."
"Let us wait for the healthcare provider to come and share this information with you."
The Correct Answer is A
A. "Only your son can decide to who the laboratory results can be shared with."
Since the client is 18 years old, he is legally an adult and has the right to confidentiality regarding his medical information. The nurse should inform the mother that the son must provide consent before sharing any test results with her.
B. "I can give you those results as soon as I get them back from the laboratory." The nurse cannot release the results to the mother without the client's consent, as he is an adult and his medical information is confidential.
C. "I need to wait for the results of other tests before I can share the information to you." The nurse’s ability to share the results with the mother is based on the client’s consent, not on waiting for other tests.
D. "Let us wait for the healthcare provider to come and share this information with you." While it may be helpful for the healthcare provider to discuss the results, the key issue here is the client's consent. The nurse should clarify that the client is the one who must authorize sharing the results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Abdominal cramping: Abdominal cramping can be a common symptom of gastritis and may not necessarily require immediate reporting unless it is severe or accompanied by other concerning symptoms.
B. Low grade fever: A low-grade fever can occur with gastritis as part of the inflammatory response, but it is not an immediate concern unless it persists or worsens. It is generally not as urgent as other symptoms.
C. Bruising of the skin: Bruising is not a typical symptom of gastritis. It may be indicative of a bleeding disorder or other underlying issues unrelated to the gastrointestinal system. However, it is not directly associated with gastritis.
D. Bloody emesis: Bloody emesis (vomiting blood) is a critical sign that indicates possible gastrointestinal bleeding, which can occur with severe gastritis. This is an emergency situation and should be reported immediately as it requires urgent medical attention.
Correct Answer is B
Explanation
A. Serum amylase levels: Serum amylase is helpful in detecting pancreatitis but is not the most immediate concern with symptoms of fatigue, anorexia, and tachypnea. A CBC is more relevant to evaluate possible anemia or infection.
B. Complete blood count: A CBC is crucial to assess for anemia, infection, or other hematologic issues, which could be causing the client's malaise, fatigue, and tachypnea. This is the most important test to guide further treatment.
C. Arterial blood gases: While useful for assessing respiratory function, ABG testing is not the first priority here. The client's symptoms suggest a more likely hematologic issue that would be better assessed with a CBC.
D. Liver function tests: Liver function tests are important but not the most urgent in this case. The CBC provides a broader view of the client's condition and helps identify the underlying cause of the symptoms.
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