A nurse is collecting data from a client who has hyperparathyroidism and is receiving 0.9% sodium chloride via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?

Rationale:

A. "Swaddle the newborn before securing the clips.": Swaddling before placing the newborn in the car seat is unsafe because it can prevent proper restraint and increase the risk of injury during a crash. The newborn should be secured directly by the harness straps.

B. "Add a soft head support in the car seat if necessary.": Adding aftermarket soft head supports can interfere with the car seat’s harness system and safety performance. Only manufacturer-approved accessories should be used.

C. "Secure the straps across the newborn's chest at the level of their armpits.": The harness straps should be positioned at or just below the newborn’s shoulders, with the chest clip placed at the armpit level to ensure optimal restraint and prevent movement during sudden stops.

D. "Ensure that the car seat is positioned at a 90 degree incline.": The car seat should be reclined at approximately a 45-degree angle to prevent the newborn’s head from falling forward and obstructing the airway during travel.

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.