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?
"I cannot confirm or deny that we have a client by that name."
"I will tell him you called."
"The client's condition is stable right now."
"He is here in the hospital, but I cannot tell you anything else."
The Correct Answer is A
Choice A Reason:
"I cannot confirm or deny that we have a client by that name." This response respects the patient's right to confidentiality under HIPAA (Health Insurance Portability and Accountability Act) regulations. It neither confirms nor denies the patient's presence in the hospital, preserving the patient's privacy and confidentiality.
Choice B Reason:
"I will tell him you called." This response doesn't uphold patient confidentiality. Revealing that the employer called could indirectly confirm the patient's presence in the hospital, potentially breaching confidentiality.
Choice C Reason:
"The client's condition is stable right now." Sharing any information about the patient's condition with someone who hasn't been authorized to receive it breaches patient confidentiality. Even sharing a seemingly benign statement about stability can indirectly disclose the patient's presence in the hospital.
Choice D Reason:
"He is here in the hospital, but I cannot tell you anything else. “While it refrains from divulging more information, it still confirms the patient's presence in the hospital, breaching confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Steatorrhea is correct. Cystic fibrosis (CF) can lead to issues with digestion and absorption of nutrients due to problems with pancreatic enzymes. Steatorrhea, which is the passage of foul-smelling, fatty stools, is a common symptom in individuals with CF due to pancreatic insufficiency. It occurs because the body cannot properly digest and absorb fats, resulting in their presence in the stool.
Choice B Reason:
Weight gain is incorrect. Typically, children with CF might have difficulty gaining weight due to malabsorption issues, despite having a good appetite.
Choice C Reason:
Rhinorrhea is incorrect. While respiratory symptoms like chronic cough and recurrent infections are common in CF due to thick mucus production, rhinorrhea (runny nose) might not be a prominent feature directly associated with CF.
Choice D Reason:
Visible peristalsis is incorrect. This refers to the visible movement of the intestines through the abdomen, which is not typically associated with CF. CF primarily affects the respiratory and digestive systems, and visible peristalsis is not a common finding specifically related to CF.
Correct Answer is A
Explanation
Choice A Reason:
Continuous swallowing is correct. Continuous swallowing can be an indication of postoperative bleeding after a tonsillectomy and adenoidectomy. Increased swallowing may suggest blood trickling down the throat, prompting the child to swallow frequently. It's an important sign to observe for and could indicate a risk of hemorrhage.
Choice B Reason:
Heart rate 54/min. While a low heart rate (bradycardia) might be a concern in some cases, it's not a typical sign of hemorrhage after this specific surgery.
Choice C Reason:
Blood pressure 95/56 mm Hg. While a drop-in blood pressure could be concerning for hemorrhage, this blood pressure reading alone may not necessarily indicate postoperative bleeding. Monitoring trends and other signs are important for a comprehensive assessment.
Choice D Reason:
Flushing of the face. Facial flushing is not typically associated with hemorrhage after a tonsillectomy and adenoidectomy. It might be related to other factors but is not a specific indicator of bleeding following this surgery.
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