A nurse is caring for a client whose family member requests to view the client’s medical record. Which of the following responses should the nurse make?
The ethics committee will need to approve this request for you.
I will ask the nursing supervisor to obtain the medical records for you.
The healthcare provider will share this information with you.
The client must provide permission to share the records with you.
The Correct Answer is D
Choice A reason:
The ethics committee does not typically handle requests for access to medical records. Their role is more focused on addressing ethical dilemmas and conflicts in patient care, rather than routine administrative tasks like granting access to medical records.
Choice B reason:
Asking the nursing supervisor to obtain the medical records for a family member is not appropriate without the client’s consent. Medical records are confidential and protected under laws such as HIPAA (Health Insurance Portability and Accountability Act), which require patient authorization for disclosure.
Choice C reason:
The healthcare provider cannot share medical information with a family member without the client’s explicit permission. This is to ensure the privacy and confidentiality of the client’s health information.
Choice D reason:
The correct procedure is for the client to provide permission to share their medical records. Under HIPAA, a healthcare provider can only share a patient’s medical information with family members if the patient has given explicit consent. This ensures that the patient’s privacy rights are respected and that their health information is protected.
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View Related questions
Correct Answer is D
Explanation
Choice A: You Can Expect Swelling of the Ankles While Taking This Medication
Swelling of the ankles, or peripheral edema, is a known side effect of verapamil. This calcium channel blocker can cause fluid retention, leading to swelling in the lower extremities. While this is a common side effect, it is not an instruction that the nurse should include in discharge teaching. Instead, the nurse should inform the client to report any significant swelling to their healthcare provider.
Choice B: Do Not Take This Medication on an Empty Stomach
Verapamil can be taken with or without food, but taking it with food may help reduce stomach upset. Therefore, the instruction to avoid taking it on an empty stomach is not strictly necessary. The nurse should advise the client to follow their healthcare provider’s specific instructions regarding medication administration.
Choice C: Limit Your Fluid Intake to Meal Times
Limiting fluid intake to meal times is not a standard recommendation for clients taking verapamil. Adequate hydration is important for overall health, and there is no specific reason to restrict fluid intake while on this medication. The nurse should encourage the client to maintain a balanced fluid intake throughout the day.
Choice D: Increase Your Daily Intake of Dietary Fiber
Increasing daily intake of dietary fiber is a beneficial instruction for clients taking verapamil. Verapamil can cause constipation as a side effect, and a high-fiber diet can help mitigate this issue. Foods rich in fiber, such as fruits, vegetables, and whole grains, can promote regular bowel movements and improve digestive health.
Correct Answer is B
Explanation
Choice A reason:
Restricting the client’s oral fluid intake is not appropriate in this situation. Adequate fluid intake is essential to help flush out the bladder and prevent clot formation. Clients are usually encouraged to drink plenty of fluids to ensure proper hydration and urine flow.
Choice B reason:
Reminding the client that he might feel a constant urge to void is important. After a transurethral resection of the prostate (TURP), the presence of the catheter and continuous bladder irrigation can cause a sensation of needing to urinate. This is a common experience and reassuring the client helps manage their expectations and reduce anxiety.
Choice C reason:
Weighing the client every evening is not a standard intervention specifically related to TURP and continuous bladder irrigation. While monitoring weight can be important for overall health, it is not directly related to the immediate postoperative care of a TURP patient.
Choice D reason:
Monitoring the client’s urine output every 6 hours is important, but it should be done more frequently in the immediate postoperative period. Continuous bladder irrigation requires close monitoring to ensure that the irrigation fluid is flowing properly and that there are no blockages or complications.