A nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. What is the best response by the nurse?
1
"That client is not on our unit. Thank you for calling."
2
"The new privacy laws prevent me from providing any clien...
Elsevier Adaptive Quizzing for the NCLEX-RN Exam
questions with correct answers
A nurse who is working on a medical-surgical unit receives a phone call
requesting information about a client who has undergone surgery. What
is the best response by the nurse?
1
"That client is not on our unit. Thank you for calling."
2
"The new privacy laws prevent me from providing any client
information over the phone."
3
"The client has requested that no information be given out. You'll need
to call the client directly."
4
"It is against the hospital's policy to provide you with any information."
Correct Answer-4 - "It is against the hospital's policy to provide you
with any information."
The response "It is against the hospital's policy to provide you with any
information." is a factual statement, without indicating whether or not
the client is in the hospital. The response "That client is not on our unit.
Thank you for calling." is a lie and should be avoided. HIPAA (Canada:
FOIPOP) laws do not prohibit the provision of information to others as
long as the client consents. The response "The client has requested that
no information be given out. You'll need to call the client directly."
implies that the client is admitted to the facility; this violates the client's
request that no information should be shared with others.
,A client has decided to become a total vegetarian (vegan) and wishes to
plan a diet to ensure adequate protein quality. What should the nurse
recommend to the client?
1
Add milk to grains to provide complete proteins
2
Use eggs with plant foods to provide essential amino acids
3
Add cheese to beans to provide a balance of different proteins
4
Use a mixture of plant proteins to provide the essential amino acids
Correct Answer-4 - Use a mixture of plant proteins to provide the
essential amino acids
Complementary mixtures of essential amino acids in plant proteins
provide complete dietary protein equivalents. A vegan does not consume
flesh, milk, milk products, or eggs.
A school-aged child with type 1 diabetes is admitted to the pediatric unit
in ketoacidosis. What sign of ketoacidosis does the nurse expect to
identify when assessing the child?
1
Sweating
2
Deep, rapid breathing (hyperpnea) is an attempt by the respiratory
system to eliminate excess carbon dioxide; it is a compensatory
mechanism associated with metabolic acidosis. Sweating is a
physiological response to hypoglycemia. Tachycardia, not bradycardia,
results from the hypovolemia caused by the polyuria associated with
ketoacidosis. Hypotension, not hypertension, may result from the
decreased vascular volume caused by the polyuria associated with
ketoacidosis.
To which assessment findings should the nurse give the highest priority
when caring for a client with symptomatic sinus tachycardia? Select all
that apply.
1
Anxiety
2
Orthopnea
3
Restlessness
4
Lightheadedness
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