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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When educating the parent of a child with scabies, it's important to provide accurate information about managing the condition and preventing its spread. Among the options provided:
Choice A Reason:
Apply petroleum jelly to the affected areas: Petroleum jelly does not effectively treat scabies. While it might provide some relief from itching, it won't eliminate the mites or their eggs
Choice B Reason:
Treat everyone who came into close contact with the child: This is an essential step in managing scabies. Close contacts, such as family members or others who have spent prolonged periods with the child, should be treated, even if they aren't showing symptoms. Treating everyone helps prevent the spread and recurrence of the infestation.
Choice C Reason:
Soak combs and brushes in boiling water for 10 minutes: While cleanliness is important to prevent the spread of scabies, soaking combs and brushes in boiling water might not effectively kill scabies mites. Scabies mites cannot survive for more than a few days away from human skin, so simply avoiding sharing personal items is usually enough to prevent transmission.
Choice D Reason:
Wash the child's hair with shampoo containing ketoconazole: Scabies mites primarily infest the skin, not the scalp or hair. Using shampoo with ketoconazole is not considered a standard treatment for scabies. Topical medications, such as permethrin or lindane, prescribed by a healthcare provider, are typically used to treat scabies.
Correct Answer is B
Explanation
Choice A Reason:
Constipation is incorrect. While bowel obstruction might occur due to the nature of intussusception, it usually presents with a different pattern of symptoms such as sudden, severe abdominal pain, vomiting, and sometimes, passing of "currant jelly" stool, which is a mixture of blood and mucus.
Choice B Reason:
Sausage-shaped abdominal mass is correct. This type of abdominal mass might be palpable during the assessment. It's a classic sign associated with intussusception. The mass can often feel like a sausage-shaped or tubular lump in the abdomen.
Choice C Reason:
Board-like abdomen is incorrect. A board-like abdomen with rigidity is a sign more commonly associated with conditions like peritonitis, which involves inflammation or infection of the abdominal lining, but it's not typically seen in intussusception.
Choice D Reason:
Increased urinary output is incorrect. Intussusception doesn't directly cause increased urinary output. This finding is less likely to be associated with this specific condition.
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