A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.
The employer asks the nurse about the client's condition.
Which of the following is an appropriate response by the nurse?

"The client's condition is stable right now.”.

"I will tell him you called.”.

"I cannot confirm or deny that we have a client by that name.”.

"He is here in the hospital, but I cannot tell you anything else.”. . .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Stating that the client's condition is stable right now is a breach of patient confidentiality and does not comply with privacy regulations.

Choice B rationale

Telling the employer that the nurse will inform the client about the call is also a breach of confidentiality, as it implies that the client is indeed there.

Choice C rationale

Responding with "I cannot confirm or deny that we have a client by that name" is an appropriate and professional way to protect patient confidentiality and comply with privacy laws.

Choice D rationale

Stating that the client is in the hospital but not providing further details still reveals the client's location, which breaches patient confidentiality and privacy regulations. .

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Correct Answer is B

Explanation

Choice A rationale

The sides of the sling are not designed for the client to hold on to, as this could compromise safety. Clients should keep their hands away to prevent injury and ensure stability during the transfer.

Choice B rationale

Mechanical lifts are designed to assist clients who cannot help themselves due to limited mobility or strength. This device ensures safe transfer without requiring the client's physical assistance, reducing the risk of injury to both the client and the caregiver.

Choice C rationale

Positioning the sling's lower end below the client's calves is incorrect. The correct positioning is beneath the client's thighs and around the upper body to provide adequate support during the lift. Incorrect placement can lead to discomfort or injury.

Choice D rationale

Mechanical lifts do not require the client to use upper body strength. These devices are specifically intended to aid clients with minimal or no ability to support themselves, thereby minimizing physical exertion from the client.

A. Place a thick layer of stool on the specimen card. B. Urinate prior to collecting the stool specimen. C. Discontinue supplements containing vitamin C 24 hours before the test. D. Refrain from consuming pork 7 days before the test.

Correct Answer is C

Explanation

Choice A rationale

Placing a thick layer of stool on the specimen card is incorrect. For fecal occult blood testing, a thin smear of stool is needed to accurately detect any hidden blood. A thick layer can obscure the test results and lead to false negatives.

Choice B rationale

Urinating prior to collecting the stool specimen is essential to prevent contamination. Urine can dilute the stool sample, potentially affecting the accuracy of the fecal occult blood test results.

Choice C rationale

Discontinuing supplements containing vitamin C 24 hours before the test is crucial. Vitamin C can interfere with the chemical reaction in fecal occult blood tests, leading to false-negative results by reducing the detectable levels of hemoglobin.

Choice D rationale

Refraining from consuming pork 7 days before the test is important because certain foods, including red meat like pork, can contain animal hemoglobin, potentially causing false-positive results in fecal occult blood tests.

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A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.The employer asks the nurse about the client's condition.Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is showing a newly licensed nurse how to use a mechanical lift.Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

Correct Answer is B

Explanation

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client.Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.
The employer asks the nurse about the client's condition.
Which of the following is an appropriate response by the nurse?