A nurse's sibling had a diagnostic test at the nurse's facility.
The sibling asks the nurse to look up the result in the computer.
The nurse should identify which of the following as the reason for her decision about her sibling's request?
It is permissible because the sibling has paid for the service.
It is permissible because the client's sibling made the request.
It is not permissible because the provider should disclose laboratory results or findings to a client.
It is not permissible because there is no nurse-client relationship between the sibling and nurse.
The Correct Answer is D
Choice A rationale
While the sibling may have paid for the diagnostic test, this does not grant the nurse the right to access and disclose the results. Patient privacy and confidentiality are paramount, and access to medical records is restricted to those directly involved in the patient's care. Payment for services does not override these privacy regulations.
Choice B rationale
The familial relationship between the nurse and the patient's sibling does not authorize the nurse to access the patient's medical information. Professional boundaries and ethical guidelines prevent healthcare providers from accessing records of family members unless they are directly involved in their care and have a legitimate need-to-know.
Choice C rationale
It is indeed the responsibility of the healthcare provider who ordered the tests or is managing the patient's care to disclose laboratory results and findings directly to the client. This ensures accurate interpretation and appropriate follow-up. Nurses should not bypass this process by independently accessing and sharing results with family members.
Choice D rationale
A nurse-client relationship did not exist between the nurse and the sibling in this scenario. Accessing a patient's medical record requires a legitimate professional need related to the provision of care to that specific patient. Without this established relationship, accessing the sibling's results would be a breach of confidentiality and professional ethics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Assessing the patient's respiratory status with auscultation of lung sounds and pulse oximetry provides immediate and critical information about the severity of the shortness of breath and the patient's oxygenation. This data is essential for guiding immediate interventions and further assessment. Normal pulse oximetry is typically 95-100%.
Choice B rationale
Telling the patient the physician will be in shortly does not address the immediate distress of acute shortness of breath and delays necessary assessment and intervention. It offers false reassurance without taking any immediate action.
Choice C rationale
While ensuring patient privacy is important, it is not the priority action in a situation of acute shortness of breath. Addressing the immediate physiological compromise takes precedence over privacy concerns at the initial moment of assessment.
Choice D rationale
Reassuring the patient that the shortness of breath will be relieved shortly, without any assessment or intervention, is inappropriate and potentially dangerous. It does not address the underlying cause and may delay necessary treatment.
Correct Answer is ["0.7"]
Explanation
Step 1 is: The desired dose is 7000 units and the available concentration is 10,000 units/mL.
Step 2 is: Divide the desired dose by the available concentration: 7000 units ÷ 10,000 units/mL = 0.7 mL. Final answer: The nurse will administer 0.7 mL.
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