A client in a health care facility asks the nurse about the ...

[nautica902]

A client in a health care facility asks the nurse about the facility's computerized system for keeping client information, especially in regard to confidentiality. Which is the best response by the nurse?
 
  1. Don't worry; your information is always safe..
   2. Information in our system requires a password to retrieve..
   3. Our system was designed with a lot of input from nursing staff..
   4. I can see why you're worried, with all the computer hackers out there these days..

Question 2

The nurse is teaching the client with chronic renal failure and family about administering calcium acetate 2 tablets p.o. with each meal at home. The nurse explains that the rationale for this treatment is which of the following?
 
  1. Decreases serum creatinine
   2. Lowers serum phosphate
   3. Neutralizes gastric acid
   4. Stimulates appetite

[duy1981999]

Answer to Question 1

2. Information in our system requires a password to retrieve..

Rationale:
Maintaining privacy and securing data are significant issues. One way that computers can protect data is by the use of passwords; only those persons who have a legitimate access to the data are provided a password. Information in a computer data system may not always be safe, and it would be inappropriate for the nurse to say this. Nurses need to be involved with the design, implementation, and evaluation of client-based patient records (CPRs) to maximize their use and effectiveness, but this does not ensure security. Reminding the client that there is indeed cause for privacy concerns is not as therapeutic as explaining that the system requires a password.

Answer to Question 2

2. Lowers serum phosphate

Rationale:
The client in renal failure has elevated phosphate levels due to the inability of the damaged kidney to excrete this electrolyte. Calcium acetate, when given with meals, will bind serum phosphorus and therefore lower the serum level. Calcium acetate has no effect on serum creatinine. Although when given between meals calcium acetate can act as an antacid and neutralize gastric acid, this is not the reason it is given to a client with renal failure. This medication has no effect on appetite stimulation.

[nautica902]

Both answers were spot on, thank you once again

[duy1981999]

Great! Please up vote