A nurse on a medical-surgical unit is assisting in providing care for a client. The client's partner asks the nurse about the client's laboratory results. Which of the following actions should the nurse take?

Tell the client's partner the charge nurse can provide the results.

Tell the client's partner the results of the laboratory tests.

Tell the client's partner not to worry about the results.

Tell the client's partner to ask the client about the results.

Answer and Explanation

The Correct Answer is D

A.   Tell the client's partner the charge nurse can provide the results: The charge nurse would still be bound by HIPAA regulations and cannot share the client's information without consent.
B.   Tell the client's partner the results of the laboratory tests: Sharing health information without the client’s permission violates HIPAA regulations.
C.   Tell the client's partner not to worry about the results: This response dismisses the partner's concerns and does not address the privacy issue.
D.   Tell the client's partner to ask the client about the results: This is the appropriate action, as the client has the right to choose whom to share their health information with.

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Correct Answer is C

Explanation

A. A newborn has respiratory distress and requires oxygen: This is a clinical event requiring immediate intervention but not necessarily an error or unexpected event warranting an incident report.
B. A newborn has an Apgar score of 7 at 5 minutes after birth: An Apgar score of 7 is within a normal range and does not constitute an unusual or reportable incident.
C. A newborn receives erythromycin ophthalmic ointment 4 hours after birth: Erythromycin should be administered within 1 to 2 hours after birth to prevent neonatal eye infections. Delayed administration requires incident reporting.
D. A newborn receives a heel stick on the outer aspect of the heel: This is standard practice to prevent nerve and tissue damage during blood sampling and does not require an incident report.

A. The medication administration record indicates the client received pain medication 12 hr ago. B. The client reports a pain level of 7 on a scale from 0 to 10. C. The client's pulse rate and blood pressure have decreased. D. The client is restless and grimaces with movement. E. The client's family tells the nurse the client is in pain.

Correct Answer is ["A","B","C","D"]

Explanation

A. The medication administration record indicates the client received pain medication 12 hr ago. This is important to prevent overmedication and assess if the dosing schedule allows another administration.
B. The client reports a pain level of 7 on a scale from 0 to 10. Pain rating is a critical factor in deciding whether to administer PRN pain medication.
C. The client's pulse rate and blood pressure have decreased. Vital sign changes may indicate sedation or hemodynamic instability, which could contraindicate additional pain medication.
D. The client is restless and grimaces with movement. Nonverbal cues of pain are essential considerations, especially if the client is unable to communicate effectively.
E. The client's family tells the nurse the client is in pain. While family input can be valuable, pain assessment should be based on the client's report or nurse observations.

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A nurse on a medical-surgical unit is assisting in providing care for a client. The client's partner asks the nurse about the client's laboratory results. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is providing care for four newborns. For which of the following events should the nurse plan to complete an incident report?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","D"]

Explanation

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