A 18-year-old male client is admitted to the hospital with a possible drug overdose. His mother requests to know the results of the toxicology screen test. Which response is best for the nurse to provide?

"Only your son can decide to who the laboratory results can be shared with."

"I can give you those results as soon as I get them back from the laboratory."

"I need to wait for the results of other tests before I can share the information to you."

"Let us wait for the healthcare provider to come and share this information with you."

Answer and Explanation

The Correct Answer is A

A. "Only your son can decide to who the laboratory results can be shared with."
Since the client is 18 years old, he is legally an adult and has the right to confidentiality regarding his medical information. The nurse should inform the mother that the son must provide consent before sharing any test results with her.

B. "I can give you those results as soon as I get them back from the laboratory." The nurse cannot release the results to the mother without the client's consent, as he is an adult and his medical information is confidential.

C. "I need to wait for the results of other tests before I can share the information to you." The nurse’s ability to share the results with the mother is based on the client’s consent, not on waiting for other tests.

D. "Let us wait for the healthcare provider to come and share this information with you." While it may be helpful for the healthcare provider to discuss the results, the key issue here is the client's consent. The nurse should clarify that the client is the one who must authorize sharing the results.

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Correct Answer is A

Explanation

A. A child with asthma, who takes prednisone and has a fasting serum glucose of 180 mg/dL (10 mmol/L): This client’s fasting glucose is well above the normal range. Prednisone can increase blood glucose levels, placing the child at risk for hyperglycemia. This indicates a need for urgent education on blood glucose management while on steroids.

B. An adolescent male who has type 1 diabetes and a random glucose at 120 mg/dL (6.7 mmol/L): This blood glucose level is within normal limits for random testing. No immediate need for change in diabetic teaching is evident based on this value.

C. A female who has gestational diabetes and has a 1-hour postprandial glucose at 140 mg/dL (7.8 mmol/L): Her result meets the upper limit range for gestational diabetes. While she requires ongoing monitoring, her values do not indicate a need for urgent intervention.

D. An adult who has type 2 diabetes and has a glycosylated hemoglobin (Hb A1C) at 10%: Although this indicates poor long-term control, it reflects a chronic issue. The child with an acutely elevated fasting glucose and corticosteroid use is at greater immediate risk and thus has higher priority for education.

A. Yogurt or buttermilk. B. Avocados and cheese. C. Fresh fruits. D. Green leafy vegetables.

Correct Answer is A

Explanation

A. Yogurt or buttermilk: Cefdinir can disrupt the normal balance of bacteria in the gut. Yogurt or buttermilk, which contain probiotics, can help restore beneficial bacteria and reduce the risk of gastrointestinal complications such as antibiotic-associated diarrhea.

B. Avocados and cheese: While these are healthy foods, they do not specifically support gut health in the same way that probiotics do. Additionally, cheese may be high in fat and could potentially exacerbate gastrointestinal discomfort.

C. Fresh fruits: Fresh fruits provide important vitamins and fiber, but they do not specifically target the restoration of normal gut flora. Some fruits may also be difficult for a client with a postoperative wound infection to tolerate, especially if they are experiencing digestive issues.

D. Green leafy vegetables: While green leafy vegetables are nutritious, they do not have a direct role in supporting gut flora during antibiotic therapy. They are rich in vitamins and minerals, but the focus should be on probiotics like yogurt or buttermilk.

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A 18-year-old male client is admitted to the hospital with a possible drug overdose. His mother requests to know the results of the toxicology screen test. Which response is best for the nurse to provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The healthcare provider prescribes the antibiotic cefdinir 300 mg PO every 12 hours for a client with a postoperative wound infection. Which foods should the nurse encourage this client to eat?

Correct Answer is A

Explanation

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