Which of the following actions can result in a violation of patient privacy?
Submitting laboratory results to the representative for workers' compensation
Discussing laboratory results with a patient's partner
Providing diagnosis codes to a patient's insurance company
Printing a patient's full name on the specimen label
The Correct Answer is B
Choice A Reason:
Submitting laboratory results to the representative for workers' compensation is generally not a violation of patient privacy. This action is often necessary as part of the claims process and is typically done with the patient's consent or as mandated by law.
Choice B Reason:
Discussing laboratory results with a patient's partner without the patient's explicit consent is a violation of patient privacy. Confidentiality is a fundamental principle in healthcare, and disclosing health information to unauthorized individuals, including family members, breaches that confidentiality.
Choice C Reason:
Providing diagnosis codes to a patient's insurance company is a standard procedure and is not considered a violation of patient privacy. This information is necessary for the insurance company to process claims and provide coverage for medical services.
Choice D Reason:
Printing a patient's full name on the specimen label is standard practice and does not violate patient privacy. This is done to ensure that the specimen is correctly identified and matched to the patient, which is critical for accurate diagnosis and treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
The red top tube is typically used for serum determinations in chemistry, serology, and blood bank. It contains no additive or may contain a clot activator. The red top tube is not the first choice for capillary puncture order of draw because it is designed for tests that require serum and not whole blood.
Choice B Reason:
The lavender top tube is used for whole blood hematology determinations, as it contains EDTA as an anticoagulant. According to the order of draw for capillary punctures, the EDTA tube should be collected first to ensure adequate volume and accurate hematology test results. This makes the lavender top tube the correct choice for the first collection in this scenario.
Choice C Reason:
The light blue top tube contains sodium citrate and is used for coagulation tests. In venipuncture, it is drawn after the blood culture bottle and before other tubes to prevent contamination with additives from other tubes. However, for capillary punctures, it is not the first choice as hematology tests take precedence.
Choice D Reason:
The royal blue top tube is used for trace element, toxicology, and nutrient determinations². While it may be used for lead and toxicology screens mentioned in the question, it is not the first tube to be drawn in a capillary puncture sequence. The EDTA tube (lavender top) is drawn first to prevent clotting and ensure accurate CBC results.
Correct Answer is B
Explanation
Choice A reason:
The flavor of the glucose solution is not a relevant factor to document during a glucose tolerance test. The flavor does not affect the test outcome and is not a required piece of information for the test's validity or interpretation.
Choice B reason:
Documenting the time the glucose load was completed is crucial. The glucose tolerance test is time-sensitive, and blood samples are taken at specific intervals after the glucose solution is ingested. Accurate timing ensures that the results are valid and that any changes in blood glucose levels are correctly attributed to the patient's metabolic response to the glucose load.
Choice C reason:
While the amount of water ingested during the procedure may be noted for patient comfort, it is not typically a required piece of documentation. The focus of the glucose tolerance test is on the patient's response to the glucose solution, not on the volume of water consumed.
Choice D reason:
The volume of blood obtained during the procedure is generally standardized based on the test requirements and does not need to be documented each time. The phlebotomist must ensure that enough blood is collected for the analysis, but the exact volume is determined by the collection tubes used, which are designed to draw a specific volume.
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