A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
Convey the client's request to the nurse who witnessed the consent.
Notify the provider about the client's concerns.
Explain the risks of the procedure to the client.
Check to see if the medical record indicates the provider explained the procedure to the client.
The Correct Answer is B
A. Convey the client's request to the nurse who witnessed the consent. The nurse who witnessed the consent does not have the authority to explain the risks of the procedure. Their role is only to witness that the consent was signed, not to provide information about the procedure.
B. Notify the provider about the client's concerns. The provider who is performing the cardiac catheterization is legally responsible for explaining the risks, benefits, and alternatives of the procedure. If the client expresses concerns or appears to lack understanding just before the procedure, the nurse should notify the provider so they can further explain the risks and clarify any questions.
C. Explain the risks of the procedure to the client. While the nurse can offer general information about the procedure, only the provider who is performing the procedure should explain the specific risks associated with it.
D. Check to see if the medical record indicates the provider explained the procedure to the client. Even if documentation indicates that the provider previously explained the procedure, the client still has the right to have their concerns addressed by the provider just before the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Respiratory therapist is incorrect. While a respiratory therapist may be involved in the management of asthma, their role primarily focuses on providing respiratory treatments and therapies. They may not have direct involvement in assisting with financial or resource-related issues.
Choice B Reason:
Child protective services is incorrect. Child protective services are typically involved in cases of suspected abuse or neglect. The inability to afford a nebulizer for asthma management does not constitute a situation requiring the involvement of child protective services.
Choice C Reason:
Social worker is correct. Social workers are trained to assist individuals and families in accessing resources and support services, including financial assistance programs or community resources that may provide assistance with obtaining medical equipment such as a nebulizer.
Choice D Reason;
Pharmacist is incorrect. While a pharmacist may provide information and guidance on medications and medical devices, their role may be limited in addressing financial barriers to obtaining a nebulizer. Social workers are better equipped to assist with navigating financial challenges and accessing resources for healthcare needs.
Correct Answer is D
Explanation
Choice A Reason:
"Clients who participate in research studies forfeit their HIPAA right to privacy. "This statement is incorrect. While research studies may involve the use of personal health information, participants still retain their HIPAA rights to privacy. Research institutions are required to follow strict guidelines for protecting participants' privacy and confidentiality.
Choice B Reason:
"HIPAA prohibits the uploading of photographs of client's providers to social media sites. "This statement is true. HIPAA prohibits the unauthorized disclosure of protected health information (PHI), which includes photographs, on social media or any other public platform without the patient's explicit consent.
Choice C Reason:
"HIPAA allows facility-specific coding of client health care information to ensure privacy." This statement is ambiguous and could be interpreted in different ways. HIPAA requires covered entities to implement safeguards to protect the privacy of health information, which may include coding or encryption of data. However, facility-specific coding alone may not be sufficient to ensure privacy compliance without proper implementation of HIPAA privacy and security standards.
Choice D Reason:
"HIPAA allows clients to request a review of their own medical records. “This statement is correct. HIPAA grants individuals the right to access and review their own medical records held by covered entities, such as healthcare providers and health plans. This access allows patients to verify the accuracy of their medical information and understand how their health information is being used and disclosed.
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