A nurse manager is assisting with the orientation of a newly licensed nurse. Which of the following actions by the nurse requires the nurse manager to intervene?
Reports suspected child maltreatment to social services
Notifies the health department of a client's diagnosis of chlamydia
Tells the hospital chaplain a client's diagnosis
Informs the provider about a client's suicide plan
Reports suspected child maltreatment to social services
The Correct Answer is C
A. Reporting suspected child maltreatment is a legal and ethical responsibility of the nurse; this action is appropriate and does not require intervention.
B. Notifying the health department about a client's diagnosis of chlamydia is a legal requirement, as it is a reportable disease, so this action is appropriate.
C. Sharing a client’s diagnosis with a hospital chaplain without the client's consent could violate the client's confidentiality and requires intervention.
D. Informing the provider about a client's suicide plan is a critical action for patient safety and does not require intervention.
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Related Questions
Correct Answer is B
Explanation
A. Cytomegalovirus (CMV) is not nationally notifiable, though it can have significant effects, especially in pregnant women.
B. Foodborne botulism is a nationally notifiable condition due to its potential for widespread outbreaks and severe health consequences.
C. Erythema infectiosum, or fifth disease, is not a nationally notifiable disease, although it is recognized in clinical settings.
D. Herpes simplex virus type 1 (HSV-1) is common and not considered a nationally notifiable infectious disease.
Correct Answer is B
Explanation
A. Offering flavored gelatin can provide some hydration, but it does not provide sufficient electrolytes necessary for rehydration in gastroenteritis.
B. Initiating oral rehydration therapy for the toddler is essential in treating dehydration caused by infectious gastroenteritis. Oral rehydration solutions contain the right balance of electrolytes and fluids to replenish losses.
C. While chicken broth may provide some fluid and salt, it is not as effective as a specific oral rehydration solution tailored for children with gastroenteritis.
D. The BRAT diet (bananas, rice, applesauce, and toast) is no longer recommended as the primary diet for children with gastroenteritis, as it does not provide adequate nutrition or electrolytes.
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