A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give?

“There's a protocol for reviewing your medical record, and I can initiate the process.”

“Some parts of your medical record are restricted, but I can show you the parts that you are allowed to see.”

“The medical record has a lot of medical terminology, and it might be difficult for you to understand.”

“You should really talk to your provider if you have any questions about your treatment.”

Answer and Explanation

The Correct Answer is A

A. Initiating the process to review the medical record is appropriate; clients have the right to access their medical information under HIPAA regulations, and the nurse can assist in starting that process.

B. While there are restricted parts of a medical record, the response lacks a proactive approach to assisting the client in accessing the information they have the right to view.

C. This response is dismissive of the client's request and does not provide an avenue for understanding the medical record better.

D. Although the provider can provide more detailed information about treatment, it does not

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Correct Answer is B

Explanation

A. Taking the medication 2 hours apart from calcium supplements is important, but the timing is not the primary instruction; the focus should be on the medication itself.

B. Levothyroxine should be taken on an empty stomach, ideally 30 to 60 minutes before breakfast, to enhance absorption.

C. Taking a double dose if a dose is missed can lead to toxicity; patients should be instructed to skip the missed dose and resume the regular schedule.

D. While taking the medication with a small sip of water is acceptable, it is not the most critical instruction for ensuring proper absorption and effectiveness of levothyroxine.

A. Report of chest pain B. Hypotension C. Ecchymosis D. Report of tinnitus

Correct Answer is A

Explanation

A. A report of chest pain is an adverse effect of epinephrine, which can increase myocardial oxygen demand and cause angina or myocardial ischemia.

B. Hypotension is not a common effect after administering epinephrine; it typically causes hypertension due to vasoconstriction.

C. Ecchymosis is not a known adverse effect of epinephrine and may be related to other factors.

D. Tinnitus is not a recognized adverse effect of epinephrine and does not commonly occur after administration.

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A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a prescription for levothyroxine 25 mcg PO daily. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is assessing a client after administering epinephrine for an anaphylactic reaction. Which of the following findings should the nurse identify as an adverse effect of this medication?

Correct Answer is A

Explanation

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