A nurse is contributing to the plan of care for a client who was newly admitted and has tuberculosis. Which of the following actions should the nurse recommend Including in the plan of care?

Choice A Reason:

The surgeon is incorrect. Surgeons primarily focus on the surgical procedure itself and the immediate postoperative care related to the surgery. They may not have a direct role in medication management or overall postoperative care beyond the surgical site.

Choice B Reason:

The pharmacist is incorrect. While pharmacists play a vital role in medication management, they typically focus on dispensing medications, providing drug information, and ensuring proper dosages and administration. They may not be directly involved in assessing fall rates or postoperative outcomes.

Choice C Reason:

The case manager is incorrect. Case managers are responsible for coordinating a patient's care and ensuring that it meets their overall healthcare needs. They may not have the expertise or authority to investigate and address specific safety concerns related to medication use and fall rates.

Choice D Reason:

The risk manager is correct. When a nurse identifies an issue related to patient safety, such as an increased fall rate associated with a specific medication like zolpidem, it is important to report these findings to the risk manager. The risk manager is responsible for assessing and addressing issues related to patient safety and quality improvement within the healthcare facility. They can investigate the matter further, collaborate with other members of the healthcare team, and implement necessary changes or protocols to mitigate the risk and improve patient safety. Reporting such findings to the risk manager is a crucial step in ensuring patient safety and quality of care.

A. Members of a health care team can share a computer password:

• Sharing computer passwords compromises security and violates client privacy. Each team member should have their unique login credentials for secure access.

B. A client is restricted from accessing his own medical records:

• Clients typically have rights to access their own medical records. Restricting their access without valid legal reasons violates their privacy rights.

C. Information regarding client health can be e-mailed if encrypted:

• This statement addresses the importance of secure electronic communication. Sending client health information via email should be done using encrypted methods to maintain confidentiality and prevent unauthorized access.

D. Unwanted printed health information can be discarded in a trash can:

• Disposing of health information in an unsecured manner, such as discarding it in a trash can, can lead to breaches of privacy. Proper disposal methods, such as shredding or using secure disposal bins, should be followed to maintain confidentiality.