A nurse is preparing to discharge a client who is to be transferred to a long-term care facility. The nurse should recognize that which of the following actions is a breach of client confidentiality?

Providing a verbal report of the client's status to a paramedic performing the transfer

Faxing the client's medical records to the long-term care facility

Discussing the client's reaction to the transfer with another staff nurse

Leaving a phone message for the provider regarding the status of the client's transfer

Answer and Explanation

The Correct Answer is C

A. Providing a verbal report of the client's status to a paramedic performing the transfer: Sharing relevant health information with personnel directly involved in the client’s care is appropriate and necessary for continuity of care. This does not constitute a breach of confidentiality because it is directly related to the client’s treatment and transfer.

B. Faxing the client's medical records to the long-term care facility: Sending medical records to the receiving facility ensures that the client’s care can continue without interruption. As long as the transmission is secure and the information is limited to what is necessary, this is an appropriate and legally permissible action.

C. Discussing the client's reaction to the transfer with another staff nurse: Sharing personal information about the client’s emotional response outside of a care-related context is not necessary for treatment or transfer and constitutes a breach of confidentiality. Such discussions should be avoided to protect the client’s privacy.

D. Leaving a phone message for the provider regarding the status of the client's transfer: Communicating with the provider about the client’s care is appropriate. Leaving a message regarding transfer status is relevant to the client’s treatment and does not violate confidentiality, provided the information is limited to necessary clinical details.

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Correct Answer is A

Explanation

A. Educating the client how to cover nose and mouth with tissues when coughing: Covering the nose and mouth helps prevent airborne transmission of Mycobacterium tuberculosis. Proper disposal of tissues and hand hygiene further reduce the risk of spreading the infection to others.

B. Recommending the client may return to work after two negative sputum cultures: Returning to work should only be considered after the client is no longer contagious and cleared by the healthcare provider. This often requires multiple negative sputum cultures and clinical evaluation, not just a time-based recommendation.

C. Instructing the client that he is no longer contagious after 1 week of medication therapy: Clients with active TB are not automatically non-contagious after one week of therapy. Contagiousness decreases gradually, and adherence to medication and follow-up sputum tests determine when the client is safe to interact with others.

D. Teaching the client’s family to wear protective masks while with the client: Family members do not routinely need masks if proper airborne precautions are in place and the client is receiving treatment at home. Emphasis should be on client respiratory hygiene, ventilation, and adherence to treatment.

A. Dermatitis B. Type II diabetes mellitus C. Smoking history D. Hypothyroidism E. СОРD F. Hypertension

Correct Answer is ["B","C","E"]

Explanation

A. Dermatitis: Dermatitis affects the skin and is not associated with an increased risk of pneumonia. While skin integrity issues can lead to infections, they do not directly predispose a client to respiratory infections like pneumonia.

B. Type II diabetes mellitus: Diabetes mellitus impairs immune function and increases susceptibility to infections, including pneumonia. Hyperglycemia can impair neutrophil function, reducing the body’s ability to fight bacterial respiratory infections.

C. Smoking history: Smoking damages the respiratory epithelium and impairs mucociliary clearance, increasing the risk of bacterial colonization and infection in the lungs. A long-term smoking history is a well-established risk factor for pneumonia.

D. Hypothyroidism: Hypothyroidism can slow metabolism and affect multiple organ systems but is not a direct risk factor for pneumonia. While severe hypothyroidism may influence respiratory function, it is not considered a primary predisposing condition.

E. COPD: Chronic obstructive pulmonary disease leads to compromised lung function, impaired clearance of secretions, and increased susceptibility to respiratory infections. COPD is a significant risk factor for developing pneumonia, particularly in the lower lobes.

F. Hypertension: Hypertension affects cardiovascular health but does not directly impair immune function or pulmonary defenses. It is not considered a risk factor for pneumonia.

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A nurse is preparing to discharge a client who is to be transferred to a long-term care facility. The nurse should recognize that which of the following actions is a breach of client confidentiality?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching about disease prevention to a client who has active tuberculosis. Which of the following should the nurse include?

Correct Answer is A

Explanation

A nurse working in the emergency department (ED) is admitting a female client The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

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