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.
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