A television reporter calls the nursing unit requesting an update on the status of an elected official from the community who was admitted to the unit.
Which statement is the most appropriate response by the nurse when the reporter requests the official diagnosis?
“Only the client’s health care provider is authorized to release that information.”.
“I can confirm that the client is on the unit but no diagnosis has been made.”.
“I don’t know because tests are still being run on the client.”.
“You need to speak to the designated hospital contact.”.
The Correct Answer is D
You need to speak to the designated hospital contact. This is because the nurse has a duty to protect the client’s privacy and confidentiality, and cannot disclose any information about the client’s diagnosis or condition to the reporter without the client’s consent.
The nurse should refer the reporter to the hospital’s public relations department or spokesperson, who is authorized to handle such inquiries.
Choice A is wrong because it implies that the client’s healthcare provider can release the information without the client’s consent, which is not true.
Choice B is wrong because it confirms that the client is on the unit, which is a violation of the client’s privacy.
Choice C is wrong because it gives false information about the client’s status, which is unethical and unprofessional.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is the appropriate action because it prevents the spread of infection and maintains a clean environment.
The nurse should also wear gloves and dispose of the bag properly.
Choice A is wrong because saturating the dressing with saline before removing it can cause maceration of the skin and increase the risk of infection. The dressing should be removed gently and carefully, and if it is adhered to the wound, small amounts of sterile saline can be used to loosen it.
Choice C is wrong because using the old dressing to debride any tissue that is adhered to the wound can cause trauma, bleeding, and pain. The nurse should use sterile forceps or cotton- tipped applicators to gently press moistened gauze into the wound surfaces.
Choice D is wrong because reinserting the drain if removed with the dressing can cause injury and infection. The nurse should notify the surgeon immediately if the drain is accidentally removed.
Correct Answer is A
Explanation
Using an automatic BP cuff with a shivering client with a history of an irregular heart rate can result in inaccurate and low readings.
This is because shivering can interfere with the cuff inflation and deflation, and an irregular heart rate can affect the accuracy of the device.
The nurse should intervene and use a manual BP cuff with a stethoscope instead.
Choice B is wrong because pulling the client’s ear pinna backward, up and out to obtain a tympanic membrane temperature is the correct technique for adults and older children. This helps to straighten the ear canal and allow the light to reflect on the tympanic membrane, which shares the same vascular artery as the hypothalamus.
Choice C is wrong because counting the client’s radial pulse who is supine with the forearm straight alongside the body is an appropriate method.
The radial pulse can be easily palpated at the wrist, and the supine position and straight forearm do not affect the pulse rate.
Choice D is wrong because counting the respirations for one full minute for a client with tachypnea is a recommended practice.
Tachypnea means rapid breathing, and counting for one full minute can ensure accuracy and detect any variations in the respiratory pattern.
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