A nurse on a medical-surgical unit is assisting in providing care for a client. The client's partner asks the nurse about the client's laboratory results. Which of the following actions should the nurse take?

Tell the client's partner the charge nurse can provide the results.

Tell the client's partner the results of the laboratory tests.

Tell the client's partner not to worry about the results.

Tell the client's partner to ask the client about the results.

Answer and Explanation

The Correct Answer is D

A.   Tell the client's partner the charge nurse can provide the results: The charge nurse would still be bound by HIPAA regulations and cannot share the client's information without consent.
B.   Tell the client's partner the results of the laboratory tests: Sharing health information without the client’s permission violates HIPAA regulations.
C.   Tell the client's partner not to worry about the results: This response dismisses the partner's concerns and does not address the privacy issue.
D.   Tell the client's partner to ask the client about the results: This is the appropriate action, as the client has the right to choose whom to share their health information with.

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Correct Answer is D

Explanation

A. Perform CPR for a client who is not breathing: CPR is within the scope of trained assistive personnel, but a nurse or advanced provider typically manages it in an emergency scenario.
B. Complete distal capillary refill checks for a client who has an open leg wound: Capillary refill checks require clinical assessment skills, which are outside the AP's scope of practice.
C. Determine which clients need priority medical treatment: Triage and prioritization require clinical judgment, which is the nurse's responsibility.
D. Answer questions from area residents who have health concerns: APs can answer non-clinical questions and provide basic information to area residents.

A. Cover the site with a stockinette dressing. B. Administer a sedative. C. Apply a soft mitten restraint. D. Place the client close to the nurses' station.

Correct Answer is D

Explanation

A. Cover the site with a stockinette dressing: This action may help secure the IV site but does not immediately address the safety concern.
B. Administer a sedative: Administering sedatives is not the first-line intervention and requires a provider's order.
C. Apply a soft mitten restraint: Restraints should be the last resort after implementing less restrictive measures. Closer observation and attempts to redirect the client are less restrictive and should be tried first.
D. Place the client close to the nurses' station: Proximity allows for frequent monitoring, preventing further self-harm.

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