The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Ms. Jones in room 312 doing?" Which response by the nurse would be most appropriate?

"Let's step away from the area to discuss it."

"You will have to speak to the nurse caring for her while I am on break."

"I do not know because I am off duty right now."

"Ms. Jones was fine when I last checked on her during rounds."

Answer and Explanation

The Correct Answer is A

Choice A reason: This response is appropriate because it maintains client confidentiality by suggesting to move away from the crowded area before discussing private information. It shows respect for the client's privacy and adheres to HIPAA regulations.

Choice B reason: While this response directs the health care provider to the appropriate person, it does not address the immediate need for privacy. It is important to ensure that any discussion about the client is done in a confidential manner.

Choice C reason: This response is not ideal because it can come across as dismissive and does not offer to address the situation appropriately. Ensuring client confidentiality should remain a priority even if the nurse is off duty.

Choice D reason: This response violates client confidentiality by sharing information about the client's condition in a public setting. It is crucial to discuss such details in a private area to protect the client's privacy.

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Correct Answer is C

Explanation

Choice A reason: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents.

Choice B reason: Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access.

Choice C reason: Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA.

Choice D reason: Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.

A. Risk for impaired nutrition B. Risk for thrombosis C. Risk for bleeding D. Risk for constipation

Correct Answer is B

Explanation

Choice A reason: While hormone therapy can have various effects on the body, impaired nutrition is not a common complication associated with estrogen therapy for transgender women. Nutrition-related issues would more likely arise from other factors unrelated to hormone treatment.

Choice B reason: Estrogen therapy can increase the risk of thrombosis (blood clots). This is a significant potential complication that must be discussed with clients considering estrogen therapy. Blood clots can lead to serious conditions such as deep vein thrombosis, pulmonary embolism, and stroke.

Choice C reason: Increased risk of bleeding is not a typical complication of estrogen therapy. Hormone therapy for transgender women generally does not affect the body's ability to clot blood in a way that would cause increased bleeding.

Choice D reason: Constipation is not a common complication of estrogen therapy. Gastrointestinal side effects are generally not a major concern with hormone therapy for transgender women.

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The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Ms. Jones in room 312 doing?" Which response by the nurse would be most appropriate?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is counseling a new client who identifies as a transgender female and is expressing the desire to start estrogen therapy for their transition. What potential complication will the nurse include in the client teaching?

Correct Answer is B

Explanation

The nurse is caring for clients in the intensive care unit (ICU). Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

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