A client who has type 1 diabetes mellitus asks a nurse about beginning an exercise regimen.

Which of the following instructions should the nurse include?

Allowing the toddler to explore and handle the equipment, such as a stethoscope or blood pressure cuff, can help familiarize them with the objects and reduce anxiety. It can be done under the supervision of the nurse to ensure safety.

Starting the examination with routine immunizations can be helpful because it allows the child to get through potentially uncomfortable or distressing procedures early on. It can also create a positive association between the examination and a sense of relief after receiving vaccinations. While it is important to provide age-appropriate explanations to the toddler, it's essential to keep the explanations simple and concise. Using child-friendly language and demonstrating the procedure using dolls or toys can help the toddler understand what will happen during the examination.

Instead of completely undressing the toddler, it is generally more comfortable and less distressing to only partially undress them. For example, the nurse can ask the caregiver to remove the toddler's shirt while leaving the pants on. This approach helps maintain the child's sense of security and provides a level of modesty.

Tell the APS to stop the conversation.

Respecting and maintaining client confidentiality are an essential ethical and legal responsibility for healthcare professionals. When a nurse overhears APs discussing a client's information inappropriately, it is important to intervene and address the situation to protect the client's privacy. Option C, telling the APs to stop the conversation, is the appropriate initial action to take.

informing the client of the APs' actions in (option A), may not be necessary or appropriate unless the client's participation or consent is required due to the nature of the conversation or potential harm caused.

submitting an incident report to the risk manager in (option B), might be considered if the incident is significant or if the inappropriate conversation continues despite intervention. Incident reports are often used to document and address any potential breaches of client confidentiality.

documenting the event in the client's progress notes in (option D), may not be the primary action to take in this situation. While documentation of the incident may be necessary, addressing and stopping the inappropriate conversation should be the immediate priority.

In summary, when a nurse overhears APs discussing a client, the nurse should first intervene and tell the APs to stop the conversation to protect the client's confidentiality and privacy. Further actions, such as submitting an incident report or documenting the event, may be appropriate depending on the severity and ongoing nature of the situation.