A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer.
The employer asks the nurse about the client's condition.
Which of the following is an appropriate response by the nurse?
"The client's condition is stable right now.”.
"I will tell him you called.”.
"I cannot confirm or deny that we have a client by that name.”.
"He is here in the hospital, but I cannot tell you anything else.”. . .
The Correct Answer is C
Choice A rationale
Stating that the client's condition is stable right now is a breach of patient confidentiality and does not comply with privacy regulations.
Choice B rationale
Telling the employer that the nurse will inform the client about the call is also a breach of confidentiality, as it implies that the client is indeed there.
Choice C rationale
Responding with "I cannot confirm or deny that we have a client by that name" is an appropriate and professional way to protect patient confidentiality and comply with privacy laws.
Choice D rationale
Stating that the client is in the hospital but not providing further details still reveals the client's location, which breaches patient confidentiality and privacy regulations. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Drinking citrus juice with meals can irritate the bladder and exacerbate urinary incontinence due to the high acidity in citrus fruits. It is not recommended for individuals with urinary incontinence.
Choice B rationale
Training the bladder by voiding every 5 hours is too infrequent for most individuals. Bladder training usually involves more frequent voiding intervals to gradually increase the bladder's capacity to hold urine.
Choice C rationale
Applying adult diapers at bedtime can be useful in managing nighttime incontinence but does not address the underlying issue or provide a long-term solution for urinary incontinence.
Choice D rationale
Performing pelvic-muscle exercises, also known as Kegel exercises, can strengthen the pelvic floor muscles and improve bladder control, making it an effective method for managing urinary incontinence.
Correct Answer is A,B,C,D,E
Explanation
A. Apply clean gloves.
B. Disconnect the tube from the suction device.
C. Instill 50 mL of air into the tube.
D. Ask the client to take a deep breath.
E. Pinch and withdraw the tube.
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