A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?

A. Starting a blood transfusion without obtaining consent is a violation but may fall more under the category of battery than negligence.
B. Preventing a client from leaving the facility might relate more to issues of false imprisonment or breach of autonomy rather than negligence.
C. Administering medication without properly identifying the client can be considered negligence as it breaches the standard duty of care.
D. Discussing client care in a public area with visitors present might breach confidentiality but might not be categorized as negligence unless sensitive or protected information was disclosed.

A. Adjusting the oxygen flow rate as needed is incorrect because oxygen is a prescribed medical gas. The client or caregiver must never alter the flow rate based on subjective breathing comfort; it should only be adjusted under the explicit direction of the healthcare provider.

B. Antibiotic therapy should be taken for 10 days is an incorrect assumption. The client’s cefazolin IV was discontinued on Day 4, and the provided chart details do not show an ongoing oral antibiotic prescription intended for home use.

C. Storing the oxygen cylinder wrench with the oxygen tank is a critical safety practice. This ensures that the specialized wrench needed to quickly turn the tank valve on or off is immediately accessible to the client or caregiver during an emergency or tank change.

D. Ensuring the oxygen delivery system is at least 8 feet from any heat source is an essential home fire-safety measure. Oxygen strongly accelerates combustion, so keeping tanks and tubing far away from sources like stoves, space heaters, or open flames prevents accidental fires.

E. Steroid medication should be taken in the morning because systemic corticosteroids can cause significant insomnia and central nervous system stimulation if taken later in the day. A morning dose also closely mimics the body's natural diurnal rhythm of cortisol release.

F. Antibiotic medication can be taken with or without food is incorrect because the client's current IV antibiotic therapy was discontinued, and there is no active prescription for a home oral antibiotic listed in the medical records to teach about.

G. The steroid dose will decrease each day is incorrect based on the medical records. The client is prescribed a steady dose of prednisone 40 mg daily, and there is no indication or instruction in the MAR for a daily tapering schedule at this time.