A nurse in a provider’s office receives a telephone call from a client’s sibling requesting current information about the client’s condition. Which of the following actions should the nurse take?

Request that the caller contact the client’s provider directly for information.

Ask the caller to contact the client directly for information.

Gather additional information from the caller to verify their identity.

Provide the caller with a brief update about the client’s condition.

Answer and Explanation

The Correct Answer is C

Choice A reason: Requesting that the caller contact the client’s provider directly for information is not the best action. The nurse should first determine if the caller has the client’s consent to receive information and if the caller is authorized to do so.

Choice B reason: Asking the caller to contact the client directly for information is not appropriate. The client may not be able to communicate or may not want to share information with the caller. The nurse should respect the client’s privacy and confidentiality.

Choice C reason: Gathering additional information from the caller to verify their identity is the most appropriate action. The nurse should ask the caller for their name, relationship to the client, and other details that can confirm their identity. The nurse should also check the client’s record for any written or verbal consent to disclose information to the caller.

Choice D reason: Providing the caller with a brief update about the client’s condition is not advisable. The nurse should not share any information without verifying the caller’s identity and the client’s consent. The nurse should also follow the provider’s office policy and the Health Insurance Portability and Accountability Act (HIPAA) guidelines for disclosing information.

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Correct Answer is B

Explanation

Choice A reason: This is incorrect because the crutch tips should be about 15 cm (6 inches) away from the feet to provide stability and prevent tripping.

Choice B reason: This is correct because the three-point gait involves bearing weight on the unaffected leg while moving both crutches and the affected leg forward at the same time.

Choice C reason: This is incorrect because the crutches should be at the level of the hips, not the waist, to avoid pressure on the axillae and nerves.

Choice D reason: This is incorrect because the arms should be slightly bent at the elbows when walking to reduce fatigue and strain.

A. Isopropyl alcohol B. Chlorine bleach C. Chlorhexidine D. Triclosan

Correct Answer is B

Explanation

Choice A reason: Isopropyl alcohol is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Isopropyl alcohol is effective against some bacteria, viruses, and fungi, but not against Clostridium difficile spores. These spores are resistant to alcohol and can survive on surfaces for a long time.

Choice B reason: Chlorine bleach is a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorine bleach is effective against a wide range of microorganisms, including Clostridium difficile spores. It can kill the spores and prevent their spread. The nurse should use a diluted bleach solution (1:10) and follow the manufacturer's instructions for contact time and safety precautions.

Choice C reason: Chlorhexidine is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Chlorhexidine is an antiseptic that is used for skin cleansing and wound care. It is not effective against Clostridium difficile spores and can promote their growth.

Choice D reason: Triclosan is not a good solution to use for disinfecting the room of a client who has a Clostridium difficile infection. Triclosan is an antibacterial agent that is used in some soaps, toothpastes, and cosmetics. It is not effective against Clostridium difficile spores and can contribute to antibiotic resistance.

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A nurse in a provider’s office receives a telephone call from a client’s sibling requesting current information about the client’s condition. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?

Correct Answer is B

Explanation

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