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 A

Explanation

Choice A reason:

WBC count: An elevated white blood cell (WBC) count is a common indicator of infection. The body produces more white blood cells to fight off infections, making this a key marker for identifying infections in patients with pressure ulcers. Monitoring WBC count helps in assessing the presence and severity of an infection, guiding appropriate treatment.

Choice B reason:

BUN: Blood urea nitrogen (BUN) levels are used to assess kidney function and hydration status. Elevated BUN levels can indicate dehydration or kidney dysfunction but are not specific indicators of infection. While important for overall health assessment, BUN is not directly related to detecting infections in pressure ulcers.

Choice C reason:

Potassium: Potassium levels are crucial for maintaining normal cellular function, particularly in the heart and muscles. Abnormal potassium levels can indicate issues such as kidney dysfunction or electrolyte imbalances but do not specifically indicate infection. Monitoring potassium is important for overall health but not for diagnosing infections in pressure ulcers.

A. Chicken broth B. Flavored gelatin C. Cranberry juice D. Skim milk

Correct Answer is D

Explanation

Choice A reason:

Chicken broth: Chicken broth is part of a clear liquid diet, which is typically recommended immediately after surgery to ensure the digestive system is not overburdened. While nutritious, it does not meet the criteria for a full liquid diet, which includes more substantial liquids.

Choice B reason:

Flavored gelatin: Flavored gelatin is also a component of a clear liquid diet. It is easy to digest and provides some hydration and minimal calories. However, it does not provide the nutritional value needed for a full liquid diet.

Choice C reason:

Cranberry juice: Cranberry juice is another item that fits within a clear liquid diet. It is hydrating and provides some vitamins but lacks the protein and calories necessary for a full liquid diet.

Choice D reason:

Skim milk: Skim milk is appropriate for a full liquid diet. It provides essential nutrients, including protein, calcium, and vitamins, which are necessary for recovery after surgery4. Full liquid diets are designed to be more nutritious than clear liquid diets and include items like milk, cream soups, and smooth dairy products.

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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 A

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Explanation

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