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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A,B"}}
Explanation
Rationale:
- 1+ strength in left upper extremity: Reduced strength in the affected arm could indicate a humeral fracture, which can impair muscle function and strength. A rotator cuff injury could cause pain, but it doesn’t necessarily lead to a reduction in strength to the extent seen with a humeral fracture.
- Decreased range of motion: Decreased range of motion is common with humeral fractures as the bone is likely immobilized and painful to move. A rotator cuff injury can also lead to decreased range of motion due to pain and limited ability to lift or rotate the arm.
- Coolness of skin: Coolness to the skin could indicate poor circulation, which can occur if there is vascular injury related to a humeral fracture or if there is significant swelling causing compression of blood vessels.Coolness is less commonly associated with rotator cuff injuries unless there is concurrent trauma affecting blood flow.
- Reduced pulse distal to injury: Reduced pulses can suggest vascular injury, which is more likely with a humeral fracture, especially if the bone fragments are displacing or compressing blood vessels.This is unlikely with a rotator cuff injury, as it primarily affects the tendons and muscles without significant impact on vascular structures.
- Pain with movement: Pain with movement is a classic symptom of a fracture, particularly when moving the arm or shoulder area. Pain with movement is also a hallmark of a rotator cuff injury, especially when the arm is raised or rotated.
Correct Answer is A
Explanation
A. Maintain the client on an NPO status: After bariatric surgery, vomiting and the inability to tolerate food and liquids could indicate complications such as gastric outlet obstruction or stenosis. Maintaining NPO status allows the gastrointestinal system to rest while the cause of the symptoms is investigated and treated.
B. Determine if the client is over-hydrating to feel satiated: While over-hydration can cause discomfort, the immediate concern is the client's inability to tolerate food and liquids, which may suggest a more serious issue.
C. Administer daily vitamin supplements: While vitamin supplementation is essential after bariatric surgery to prevent deficiencies, it does not directly address the current issue of vomiting and inability to tolerate food and liquids.
D. Encourage positive self accolades for dietary adherence: Though reinforcing positive behavior is important in long-term weight loss management, it is not the priority at this moment. The immediate focus is addressing the client's symptoms and ensuring they are medically managed.
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