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 C

Explanation

Choice A Reason:

A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL. A blood glucose level of 200 mg/dL in a child with diabetes may require management but is not an immediate life-threatening situation.

Choice B Reason:

A toddler who has nephrotic syndrome and facial edema. Facial edema in a child with nephrotic syndrome requires assessment and potential intervention but might not present an immediate threat to life compared to an airway obstruction.

Choice C Reason:

A preschool-age child who has a muffled voice and no spontaneous cough. The combination of muffled voice and the absence of spontaneous cough can be indicative of an upper airway obstruction, which can be life-threatening. This requires immediate assessment and intervention to ensure the child's airway is clear and that breathing is not compromised.

Choice D Reason:

An adolescent who has Crohn's disease and a recent weight loss of 5 kg (11 lb). Weight loss in an adolescent with Crohn's disease is concerning but might not represent an immediate life-threatening situation compared to a potential airway obstruction.

A. Type 1 diabetes mellitus B. Orthostatic hypotension C. BMI of 24 D. Family history of osteoporosis

Correct Answer is A

Explanation

Choice A Reason:

Type 1 diabetes mellitus is correct. Type 1 diabetes is considered a risk factor for cardiovascular disease due to its potential impact on blood vessels and the heart over time. Individuals with diabetes, especially poorly controlled diabetes, are at a higher risk of developing cardiovascular complications such as heart disease, stroke, and peripheral vascular disease.

Choice B Reason:

Orthostatic hypotension is incorrect. Orthostatic hypotension refers to a drop-in blood pressure when moving from a lying or sitting position to a standing position. While it can cause symptoms like dizziness or lightheadedness, it's not typically considered a direct risk factor for cardiovascular disease. However, it might be associated with other conditions or medications that could contribute to cardiovascular issues indirectly.

Choice C Reason:

BMI of 24 is incorrect. A BMI (Body Mass Index) of 24 falls within the normal weight range. While obesity (especially central obesity or higher BMIs) is a known risk factor for cardiovascular disease, having a BMI of 24 by itself is not considered a significant risk factor for developing cardiovascular issues.

Choice D Reason:

Family history of osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones, not directly related to cardiovascular disease. A family history of osteoporosis doesn't inherently indicate an increased risk of cardiovascular disease unless there are other associated factors or conditions within the family history that contribute to cardiovascular issues.

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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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