The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

"What we say can be secret. What I write in the chart is available to the health team."

"I am required to report any intent to hurt yourself or others."

"Conversations between patient and nurse are confidential."

"I can't help you unless you trust me."

Answer and Explanation

The Correct Answer is B

A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.

A. Within 12 hours after burn trauma B. 48 to 72 hours after burn trauma C. 24 to 36 hours after burn trauma D. 36 to 48 hours after burn trauma

Correct Answer is B

Explanation

A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.

B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.

C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.

D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.

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The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What should the nurse do to decrease the patient's disorientation at night during the detoxification period?

Correct Answer is A

Explanation

A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?

Correct Answer is B

Explanation

The nurse recommends a breathing technique to help a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. What is this method of breathing called?

The nurse is caring for a 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine. Which action should the nurse take?

The nurse has staged a pressure injury that has a shallow crater with a dry pink wound bed in which way?

A patient who has sustained a burn injury will undergo wound debridement. The nurse includes which explanation when explaining the purpose of burn wound debridement?

Which will the nurse examine when assessing a patient for tinea corporis?

How often does a 76-year-old need a screening for preventive health?

Which patient instruction will the nurse reinforce relative to the management of systemic lupus erythematosus (SLE)?

What is a nursing intervention that helps to build trust, encourages the patient to have faith in the care being received, and meets psychosocial needs?