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?

"He is here in the hospital, but I cannot tell you anything else."

"I cannot confirm or deny that we have a client by that name."

"The client's condition is stable right now."

"I will tell him you called."

Answer and Explanation

The Correct Answer is B

A.   "He is here in the hospital, but I cannot tell you anything else."- This response respects the client's confidentiality and does not disclose protected health information to unauthorized individuals.

B.   "I cannot confirm or deny that we have a client by that name."- This response is evasive and does not provide any useful information.
C.   "The client's condition is stable right now."- Disclosing the client's condition without their consent is a violation of confidentiality.
D.   "I will tell him you called."- This response breaches the client's confidentiality by confirming their presence in the hospital.

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Correct Answer is C

Explanation

A) "I will rinse the contaminants from a bedpan with hot water." - While rinsing with hot water can help clean a bedpan, it does not effectively disinfect it.

B) "I will wear sterile gloves when bathing a client who is incontinent." - Sterile gloves are not necessary for routine bathing tasks; clean, non-sterile gloves are appropriate.
C) "I will use disinfectant to clean the blood pressure cuff after use on a client." - This statement indicates an understanding of the importance of disinfection to prevent the spread of infection.
D) "I will double-bag a client's linens each day." - Double-bagging linens may be unnecessary and does not directly address infection control principles.

A. “I’ll keep the height of my walker adjusted so lean slightly forward B. “I’ll slide the walker and move it about a foot in front of me C. “I’ll move the walker and my stronger leg ahead at the same time D. “I’ll keep my elbows slightly bent when I grasp the walker"

Correct Answer is D

Explanation

A. “I’ll keep the height of my walker adjusted so lean slightly forward,”- Leaning slightly forward can compromise balance and stability, increasing the risk of falls.
B. “I’ll slide the walker and move it about a foot in front of me.”- Sliding the walker too far ahead can lead to instability and loss of balance.
C. “I’ll move the walker and my stronger leg ahead at the same time- The walker should be moved one step ahead followed by the weaker leg, which should be placed in the middle of the walker.
D. “I’ll keep my elbows slightly bent when I grasp the walker"- Keeping the elbows slightly bent is a general instruction for using a walker which ensures proper posture and balance.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is D

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