A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?

A decrease in skinfold thickness

A triglyceride level of 150 mg/dL

A random blood glucose reading of 160 mg/dL

A mole that, is dark in color and tender

Answer and Explanation

The Correct Answer is D

A. A decrease in skinfold thickness: A decrease in skinfold thickness could be due to loss of subcutaneous fat, which might not be immediately concerning without other symptoms.
B. A triglyceride level of 150 mg/dL: A triglyceride level of 150 mg/dL is generally considered within normal limits.
C. A random blood glucose reading of 160 mg/dL: A random blood glucose reading of 160 mg/dL is elevated and could indicate impaired glucose tolerance, warranting further investigation.
D. A mole that is dark in color and tender: A dark, tender mole could be a sign of a potentially malignant melanoma and should be evaluated by a provider for further investigation and potential biopsy.

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Correct Answer is D

Explanation

A. Ginkgo biloba is often used to improve cognitive function and memory, not for sleep.
B. Feverfew is commonly used to prevent migraines and not typically for insomnia.
C. Echinacea is primarily used to boost the immune system and treat colds, not for sleep.
D. Melatonin: This is correct. Melatonin is a hormone that regulates sleep-wake cycles and is commonly used as a supplement to treat insomnia.

A. Ask the staff members to speak in much quieter tones. B. Tell the staff members to stop discussing confidential information about this client. C. Alert the facility's attorney about the staff members' breach of confidentiality. D. Ignore the situation because there is no one close by to hear the staff members' discussion.

Correct Answer is B

Explanation

A. Ask the staff members to speak in much quieter tones. This does not fully address the issue. HIPAA regulations prohibit discussing patient information in public areas regardless of the volume.
B. Tell the staff members to stop discussing confidential information about this client. This is correct. This action directly addresses the breach of confidentiality and promotes HIPAA regulations by stopping the inappropriate discussion.
C. Alert the facility's attorney about the staff members' breach of confidentiality. This action may be excessive and is not the immediate step needed to stop the breach. Reporting to a supervisor or manager is more appropriate.
D. Ignore the situation because there is no one close by to hear the staff members' discussion. This is incorrect. Ignoring the situation does not comply with HIPAA regulations, which require confidentiality regardless of whether anyone is nearby.

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A nurse in a community health clinic is conducting a health screening for a male client. For which of the following findings should the nurse recommend the client follow up with his provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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