A nurse is caring for a client whose family member requests to view the client’s medical record. Which of the following responses should the nurse make?

The ethics committee will need to approve this request for you.

I will ask the nursing supervisor to obtain the medical records for you.

The healthcare provider will share this information with you.

The client must provide permission to share the records with you.

Answer and Explanation

The Correct Answer is D

Choice A reason:

The ethics committee does not typically handle requests for access to medical records. Their role is more focused on addressing ethical dilemmas and conflicts in patient care, rather than routine administrative tasks like granting access to medical records.

Choice B reason:

Asking the nursing supervisor to obtain the medical records for a family member is not appropriate without the client’s consent. Medical records are confidential and protected under laws such as HIPAA (Health Insurance Portability and Accountability Act), which require patient authorization for disclosure.

Choice C reason:

The healthcare provider cannot share medical information with a family member without the client’s explicit permission. This is to ensure the privacy and confidentiality of the client’s health information.

Choice D reason:

The correct procedure is for the client to provide permission to share their medical records. Under HIPAA, a healthcare provider can only share a patient’s medical information with family members if the patient has given explicit consent. This ensures that the patient’s privacy rights are respected and that their health information is protected.

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Correct Answer is ["100"]

Explanation

Step 1: Identify the infusion rate in mL/hr.

The infusion rate is 100 mL/hr.
= 100 mL/hr.

Step 2: Determine the drop factor for microtubing.

Microtubing has a drop factor of 60 gtt/mL.
= 60 gtt/mL.

Step 3: Calculate the drip rate in gtt/min.

Drip rate (gtt/min) = (Infusion rate in mL/hr) × (Drop factor in gtt/mL) ÷ 60.
Drip rate (gtt/min) = 100 mL/hr × 60 gtt/mL ÷ 60.
= 100 gtt/min.

So, the nurse should set the manual IV infusion to deliver 100 gtt/min.

A. Tamoxifen B. Leuprolide C. Finasteride D. Cyclophosphamide

Correct Answer is B

Explanation

Choice A reason: Tamoxifen

Tamoxifen is a medication primarily used to treat breast cancer. It works as a selective estrogen receptor modulator (SERM), which means it blocks estrogen receptors in breast tissue. Estrogen can promote the growth of breast cancer cells, so blocking its effects can help to slow or stop the growth of these cells. However, tamoxifen is not typically used for prostate cancer because prostate cancer is driven by androgens (male hormones) rather than estrogens.

Choice B reason: Leuprolide

Leuprolide is a medication commonly used in the treatment of prostate cancer. It is a type of hormone therapy known as a luteinizing hormone-releasing hormone (LHRH) agonist. Leuprolide works by reducing the production of testosterone, a hormone that can stimulate the growth of prostate cancer cells. By lowering testosterone levels, leuprolide helps to slow the progression of prostate cancer and can be used in various stages of the disease.

Choice C reason: Finasteride

Finasteride is a medication used to treat benign prostatic hyperplasia (BPH) and male pattern baldness. It works by inhibiting the enzyme 5-alpha-reductase, which converts testosterone to dihydrotestosterone (DHT). While finasteride can reduce the size of the prostate and improve urinary symptoms in BPH, it is not typically used as a primary treatment for prostate cancer. Its role in prostate cancer is more preventive, as it can lower the risk of developing the disease.

Choice D reason: Cyclophosphamide

Cyclophosphamide is a chemotherapy drug used to treat various types of cancer, including lymphomas, leukemias, and some solid tumors. It works by interfering with the DNA of cancer cells, preventing them from dividing and growing. While cyclophosphamide can be used in certain cancer treatments, it is not a standard treatment for prostate cancer. Prostate cancer is more commonly treated with hormone therapy, targeted therapy, or other specific chemotherapy agents.

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A nurse is caring for a client whose family member requests to view the client’s medical record. Which of the following responses should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["100"]

Explanation

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