While reviewing a client's lab results, the nurse also checks the results of a throat culture performed yesterday on the client's son. Which of the following is an accurate statement regarding this action?
1. The nurse breached confidentiality.
2. The nurse can legally check this information if the child is under age 18.
3. The nurse should ask Medical Records for the son's results.
4. The nurse should ask another nurse to look up the information.
1
Rationale: The nurse breached confidentiality, as she was not caring for the son, and had no right to access that record, even if the child is under 18. The doctor's nurse and the nurse caring for the son cannot give the information to the nurse. Medical Records cannot give the information to the nurse.
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The nurse is caring for a patient with chronic lung disease. The patient demands a cigarette after eating breakfast. The nurse responds, "If that was me, I wouldn't be asking for a cigarette. That is what has made you so sick in the first place."
This nontherapeutic communication response is an example of: a. changing the subject. b. giving advice. c. a stereotypical response. d. defensiveness.
The client with a nursing diagnosis of Disturbed body image states, " I am overweight and don't think my husband finds me desirable." Which of the following would be the MOST appropriate goal for this nursing diagnosis?
a. The client will lose 20 pounds. b. The client will express positive feelings of self. c. The client will use techniques to accept self image. d. The client will express her concerns to her husband.
A patient has been admitted with a diagnosis of confusion. The physician's admission note states that he wants to assess for delirium versus dementia. The nurse knows that the main differences are:
1. delirium usually lasts several years, whereas dementia lasts only a few days. 2. delirium usually has sudden onset and is reversible, whereas dementia is chronic and irreversible. 3. dementia is usually caused by medications, whereas delirium is not. 4. dementia is easily treated with reality orientation, whereas delirium is not.
The nurse notes that the fetal heart rate increases from 140 to 160 with every contraction the mother experiences. The nurse would:
A) consider this response normal, and continue to monitor. B) turn the woman onto her side. C) notify the physician and prepare for a cesarean section. D) notify the nursing supervisor.