A nurse in a provider's office is reinforcing teaching about skin care with a client who has a new diagnosis of systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching?

A. Assign the client to a negative-pressure airflow room:Varicella zoster (chickenpox) is highly contagious and can be transmitted through airborne droplets.A negative-pressure airflow room helps prevent the spread of the virus to other patients and healthcare workers.

B.Have visitors remain at least 0.91 m (3 feet) away from the client: While maintaining distance is generally advisable, it is not the primary intervention for varicella. The focus should be on preventing transmission through other means.

C.Initiate contact precautions for the client:Correct!Contact precautions are essential for varicella-zoster patients. This includes using gloves and gowns when in direct contact with the client or their environment. Airborne precautions are also recommended because varicella is highly contagious.

D.Administer aspirin if the client develops a fever: Aspirin is generally avoided in children with varicella due to the risk of Reye’s syndrome. Acetaminophen (paracetamol) is a safer choice for fever management.

Incident report

In the given scenario, where the nurse inadvertently administers 2 tablets of acetaminophen with codeine instead of the prescribed dose of 1 tablet, the nurse should document this client care incident in an incident report.

An incident report is a formal record that documents any unexpected or adverse events that occur during the provision of healthcare. It serves as a tool for identifying and addressing potential risks and improving patient safety. The incident report should include a detailed account of what happened, including the date, time, individuals involved, description of the incident, and any potential harm or actual harm caused to the client. It should be completed as soon as possible after the incident occurs.

Provider's progress notes in (option A) is incorrect: Provider's progress notes are used to document the healthcare provider's assessment, diagnosis, treatment plan, and progress of the client's condition. It is not the appropriate place to document a client care incident like an administration error.

Controlled substance inventory record in (option C) is incorrect: The controlled substance inventory record is used to track the use and documentation of controlled substances in a healthcare facility. While medication errors involving controlled substances should be reported and documented, the controlled substance inventory record is not the appropriate place for documenting a client care incident.

Nursing care plan in (option D) is incorrect: The nursing care plan outlines the client's nursing diagnoses, goals, and nursing interventions. It is not the appropriate place to document a client care incident like a medication administration error.