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?

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

"I will tell him you called."

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

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

Answer and Explanation

The Correct Answer is A

Choice A Reason:

"I cannot confirm or deny that we have a client by that name." This response respects the patient's right to confidentiality under HIPAA (Health Insurance Portability and Accountability Act) regulations. It neither confirms nor denies the patient's presence in the hospital, preserving the patient's privacy and confidentiality.

Choice B Reason:

"I will tell him you called." This response doesn't uphold patient confidentiality. Revealing that the employer called could indirectly confirm the patient's presence in the hospital, potentially breaching confidentiality.

Choice C Reason:

"The client's condition is stable right now." Sharing any information about the patient's condition with someone who hasn't been authorized to receive it breaches patient confidentiality. Even sharing a seemingly benign statement about stability can indirectly disclose the patient's presence in the hospital.

Choice D Reason:

"He is here in the hospital, but I cannot tell you anything else. “While it refrains from divulging more information, it still confirms the patient's presence in the hospital, breaching confidentiality.

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Correct Answer is D

Explanation

Choice A Reason:

Moving the baby's stuffed animal to the corner of the crib might not address the risk factors for SIDS, and loose bedding or soft objects in the sleep environment can increase the risk.

Choice B Reason:

Having the baby sleep next to the parent in bed might increase the risk of accidental suffocation or entrapment, which are factors associated with an increased risk of SIDS.

Choice C Reason:

Placing the baby on their side to sleep for naps is not recommended because the safest sleep position for infants is on their back. Side sleeping can also increase the risk of the baby rolling onto their stomach, which is a higher risk position for SIDS.

Choice D Reason:

"I will dress my baby in lightweight clothing to sleep." Is correct. Sudden Infant Death Syndrome (SIDS) risk reduction strategies include dressing infants in lightweight clothing to prevent overheating, which is considered a risk factor for SIDS. Ensuring the baby is not excessively bundled up or overheated during sleep can help reduce the risk.

A. Oliguria B. Hyperactive bowel sounds C. Hyporeflexia D. Hypertension

Correct Answer is C

Explanation

Choice A reason:

Oliguria is incorrect. Low potassium levels (hypokalemia) may lead to decreased kidney function and reduced urine output (oliguria) in severe cases. However, at this potassium level, oliguria might not be the immediate or most prominent finding.

Choice B Reason:

Hyperactive bowel sounds are incorrect. Gastroenteritis typically presents with increased bowel sounds due to gastrointestinal irritation or inflammation. Potassium levels might not directly influence bowel sounds, so hyperactive bowel sounds might not be specifically related to the potassium level.

Choice C Reason:

Hyporeflexia is correct. Hypokalemia, indicated by a low potassium level, can affect nerve conduction and muscular function, potentially leading to hyporeflexia (reduced reflexes) as one of its manifestations. This can be a relevant finding associated with low potassium levels.

Choice D Reason:

Hypertension is incorrect. Hypokalemia is more commonly associated with hypotension (low blood pressure) rather than hypertension (high blood pressure). Therefore, hypertension is less likely to be an expected finding related to low potassium levels.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect?

Correct Answer is C

Explanation

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