A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.

A. Rubella: This disease is primarily spread through respiratory droplets, requiring standard precautions for management. It is important for nurses to understand that while rubella can be contagious, airborne precautions are not necessary for this condition.

B. Pertussis: Also known as whooping cough, pertussis is transmitted through respiratory droplets, which necessitates droplet precautions rather than airborne precautions. Understanding the mode of transmission helps healthcare workers implement the appropriate level of precautions to prevent the spread of infection.

C. Influenza: Influenza is primarily transmitted through respiratory droplets. Although droplet precautions are necessary when caring for patients with influenza, airborne precautions are not required. Knowledge of these distinctions is essential for nurses to ensure effective infection control measures.

D. Varicella: Varicella, or chickenpox, is classified as an airborne disease because it spreads through respiratory droplets and direct contact with the rash. Airborne precautions are necessary to prevent transmission, especially in healthcare settings where vulnerable populations may be present. Understanding the specific precautions for airborne diseases is crucial for maintaining patient and staff safety.