A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic.
What action should the charge nurse take?
Obtain written authorization from clients to release the information.
Verify if permission has been obtained from the research committee.
Ask the student to sign a standard waiver form.
Provide the information for research purposes only.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.
Choice B rationale
While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.
Choice C rationale
Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.
Choice D rationale
Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
Surveying parents 3 weeks after the pamphlets are sent home would provide information about their understanding of the condition, but it would not directly measure the effectiveness of the program in eradicating pediculosis capitis in the school.
Choice B rationale
Evaluating the teacher’s ability to identify pediculosis capitis 2 months after the initiation of the program would provide information about the teacher’s knowledge and awareness, but it would not directly measure the effectiveness of the program in eradicating the condition in the school.
Choice C rationale
Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.
Choice D rationale
Conducting an initial examination of each child in the school to obtain baseline data would be a useful step in the beginning of the program to understand the extent of the problem, but it would not evaluate the effectiveness of the program.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
Rechecking the client’s vital signs in 30 minutes may not be the most appropriate action in this situation. The client is showing signs of possible complications such as infection (elevated
temperature, malaise) and referred pain in the shoulder, which could indicate diaphragmatic irritation. These symptoms, along with the client’s recent surgery, suggest that immediate medical attention may be necessary.
Choice B rationale
Having the client transported via ambulance to the hospital is the most appropriate action. The client’s symptoms suggest possible complications that require immediate medical attention.
Abdominal tenderness and shoulder pain could indicate a serious condition such as a perforation or infection. The elevated heart rate and low blood pressure could suggest sepsis or shock. Immediate medical evaluation and treatment are necessary.
Choice C rationale
Determining the client’s current oxygen saturation rate is important, but it is not the most immediate need. While this information could provide additional data about the client’s condition, it does not address the potential seriousness of the client’s symptoms. The client needs immediate medical attention.
Choice D rationale
Instructing the client to drive to the hospital for admission is not the best choice. Given the client’s symptoms and recent surgery, it would be safer for the client to be transported by ambulance. This would ensure that the client receives immediate medical attention and that the client’s condition can be monitored during transport.
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