The nursing student walks into the client's room and finds that ...

[ap345]

The nursing student walks into the client's room and finds that the client is unconscious and unresponsive when his name is called. Which of the following actions would the nursing student take first?
 
  1. Begin CPR
  2. Shake the client and ask if he is all right.
  3. Call for help.
  4. Assess vital signs.

Question 2

The client asks for a copy of his medical record. The best response by the nurse is which of the following?
 
  1. I'm sorry, but we are not allowed to give you a copy of the chart.
  2. I will get that for you right away.
  3. I will have to get permission from the doctor.
  4. I will need a written request from you to send to Medical Records.

[mmj22343]

Answer to Question 1

3
Rationale 1: For an unresponsive adult, the student first would call for help and then would shake the client gently and ask if he is all right. If the client remains unresponsive, open the airway and assess breathing. Complete vital signs are not assessed until determining whether the client has a pulse and is breathing.

Answer to Question 2

4
Rationale: The client has a right to obtain a copy of the chart, but the request must be written, and there might be a charge for the copy. Telling the client that providing a copy of the chart is not allowed is not true. The student may not copy the chart for the client, it must be copied by the Medical Records department, and permission from the doctor is not required. However, it would be a courtesy to notify the doctor that the client requested a copy of the chart.

[ap345]

TYSM

[bulacsom]

Thanks for the timely response, appreciate it