A nurse is caring for a client who has been given methylergonovine intramuscularly for a postpartum hemorrhage. The nurse should monitor for which of the following adverse effects?

A. Have visitors remain at least 0.91 m (3 feet) away from the client: Varicella zoster is highly contagious and spreads through airborne droplets, so simply keeping visitors a short distance away is insufficient to prevent transmission. More stringent precautions are required.

B. Initiate contact precautions for the client: Contact precautions alone do not adequately prevent the airborne spread of varicella. Airborne precautions must be implemented in addition to standard and contact precautions to protect others.

C. Administer aspirin if the client develops a fever: Aspirin is contraindicated in children with varicella due to the risk of Reye’s syndrome. Alternative antipyretics, such as acetaminophen, should be used instead.

D. Assign the client to a negative pressure airflow room: Airborne precautions, including placement in a negative pressure room, are necessary to prevent the spread of varicella to other clients and healthcare staff. This intervention effectively contains airborne pathogens and is a standard infection control measure.

A. A nurse from another unit after a client commits suicide: Sharing confidential client information with staff not directly involved in the client’s care is a violation of privacy, even in the event of suicide. Only those providing care or requiring information for safety or treatment purposes should have access.

B. A client's employer who is concerned about safety due to substance use: Client health information cannot be shared with an employer without the client’s written consent, as this breaches confidentiality and HIPAA regulations. Employer concerns do not override the client’s right to privacy.

C. A client's partner after the client reports intimate partner abuse: Confidentiality must be maintained even in cases of abuse. Information should not be disclosed to a partner, as this could endanger the client further. Disclosure requires the client’s consent or legal mandate.

D. A social worker who is assigned to an involuntarily committed school-age client: Sharing relevant medical information with the social worker who is part of the client’s care team is appropriate. This ensures continuity of care, safety, and coordination of services while maintaining confidentiality within the care team.