A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?

Choice A Reason:
The client needs to have someone come in to help her bathe at home is incorrect. While this indicates a need for assistance with activities of daily living, such as bathing, it does not necessarily require the involvement of a social worker. This need may be addressed by home health aides or other community resources.
Choice B Reason:
The client needs to have range-of-motion exercises to assist with ambulation is incorrect. This suggests a need for rehabilitation or physical therapy services, which would typically be addressed by a physical therapist rather than a social worker.
Choice C Reason:
The client needs to arrange financial resources to purchase equipment is correct. The need to arrange financial resources indicates potential financial concerns or barriers that a social worker can assist with. Social workers are trained to help clients access resources and support services, including assistance with financial matters.
Choice D Reason:
The client needs to have someone bring oxygen tanks and equipment to her home is incorrect. While this indicates a need for assistance with arranging for medical equipment, such as oxygen tanks, it may be more closely related to coordination with home healthcare services or medical equipment providers rather than the role of a social worker.

Choice A Reason:
Withdraws the medication from the ampule using a subcutaneous needle is the correct answer. Medication from an ampule should be withdrawn using a filter needle or a needle specifically designed for ampule use, not a subcutaneous needle. Using the wrong type of needle can lead to contamination or injury to the nurse or the client.
Choice B Reason:
Breaks the top of the ampule using an antiseptic wipe is incorrect answer. Breaking the top of the ampule using an antiseptic wipe helps maintain sterility during the process. It is a standard practice to wipe the neck of the ampule with an antiseptic wipe before breaking it open to reduce the risk of contamination.
Choice C Reason:
Disposes of the ampule by placing it in a sharp’s container is incorrect answer. Disposing of the used ampule in a sharp’s container is the appropriate method for safe disposal of sharps to prevent needlestick injuries.
Choice D Reason:
Performs 3 checks of the medication before administration is incorrect answer. Performing three checks of the medication before administration is a standard safety practice to ensure accuracy and prevent medication errors. This includes checking the medication label against the medication administration record (MAR) or prescription, checking the medication against the MAR or prescription while preparing it, and checking the medication again before administering it to the client.