A nurse is assisting in the care of a client who is 4 days postpartum and has endometritis. Which of the following interventions should the nurse anticipate will be included in the plan of care?

Rationale:

A. Reviewing the results of the client's complete blood count (CBC) with their parents, without the client's consent: CBC results are general health data and not considered sensitive. In most jurisdictions, parents of minors typically have access to such information unless restricted by specific laws or agreements.

B. Reviewing the results of the client's urinalysis with their parents, without the client's consent: Urinalysis is typically used for general health screening or to assess conditions like infections or kidney issues. Unless it's linked to drug testing or STI diagnosis, sharing these results with parents is not considered a breach.

C. Reviewing the results of the client's celiac screening with their parents, without the client's consent: Celiac screening relates to a chronic gastrointestinal condition and is not categorized as confidential reproductive or mental health information. Sharing it with parents does not typically violate confidentiality.

D. Reviewing the results of the client's chlamydia screening with their parents, without the client's consent: Reproductive and sexual health services, including STI screening, are protected under minor consent laws in many regions. Disclosing this information without the adolescent's permission breaches their legal right to confidentiality.

Rationale:

A. "You will need to report any temperature above 98 Fahrenheit after discharge.": Reporting a temperature above 98°F is unnecessary, as this is within the normal range. Fever is typically defined as a temperature over 100.4°F and may indicate infection if it occurs postoperatively.

B. "I'm sure you know that clients have self-esteem issues after having surgery.": Generalizing the client’s emotional response can be dismissive and discourages open communication. Emotional reactions to hysterectomy vary, so individual concerns should be explored respectfully.

C. "Your kidneys should produce about 20 milliliters of urine each hour after surgery.": Stating a urine output of 20 mL/hour reflects an inaccurate understanding of kidney function. Normal renal output is at least 30 mL/hour, and anything less may indicate hypoperfusion or renal impairment.

D. "Let me know if you would like to hear about non-sexual ways to connect with a partner after surgery.": Offering information while allowing the client to guide the discussion respects emotional boundaries and promotes holistic recovery. This also acknowledges the impact surgery may have on intimacy without making assumptions.