A registered nurse is caring for an older adult patient with lung cancer. The daughter, who is also a nurse, asks to see the chart. What is the nurse's best response?
a. "Come with me and we will look at it together."
b. "I'm sorry; this information is confidential."
c. "Let me ask my supervisor if it is okay."
d. "You should know better than to ask me that."
B
Do not disclose information about patients' status to other patients, family members (unless granted by the patient), or health care staff not involved in their care. Looking at it together is not acceptable because confidentiality would be broken. Asking a supervisor is inappropriate because the nurse should already know the legalities for confidentiality. Saying, "You should know better than to ask me that" is inappropriate and condescending.
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The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should:
a. Ask the patient to urinate into a sterile cup. b. Ask the patient to obtain a specimen of semen. c. Insert a cotton-tipped applicator into the urethra. d. Compress the glans between the examiner's thumb and forefinger, and collect any discharge.
The nurse is alarmed when a patient with a severe head injury of the occipital lobe has a respiratory rate of 10 breaths per minute because this may indicate an injury to the:
a. cerebellum. b. medulla oblongata. c. cortex. d. cerebrum.
Which statement most accurately describes a nurse's role regarding psychopharmacology? The psychiatric nurse
a. frequently makes decisions regarding administration of PRN medications. b. might adjust a medication dose if a patient is not responding positively. c. administers medications but is not responsible for monitoring drug effectiveness. d. should refer a patient's questions about drug side and adverse effects to the psychiatrist.
What event is most likely to occur to the brain in a classic cerebral concussion?
a. Brief period of vital sign instability b. Cerebral edema throughout the cerebral cortex c. Cerebral edema throughout the diencephalon d. Disruption of axons extending from the diencephalon and brainstem