A nurse overhears two assistive personnel (AP) in the cafeteria discussing a client's care during lunch. Which of the following actions should the nurse take?
Ask the APs to discontinue the conversation.
Inform the client what has occurred.
Notify the client's provider.
Schedule a disciplinary conference for the APS.
The Correct Answer is A
Ask the APs to discontinue the conversation:
This is the most appropriate immediate action. Discussing a client's care in a public area violates the principle of patient confidentiality. The nurse should intervene promptly and ask the assistive personnel to stop the conversation.
Inform the client what has occurred:
While transparency with the client is important, it may not be the first action to take in this situation. The priority is to address the breach of confidentiality by stopping the conversation.
Notify the client's provider:
Notifying the client's provider is not the initial action to take in this situation. First, the nurse should address the immediate issue by stopping the inappropriate conversation. The provider may be informed later, if necessary.
Schedule a disciplinary conference for the APs:
Scheduling a disciplinary conference is a step that may be taken after addressing the immediate issue. The priority is to stop the inappropriate conversation and address confidentiality concerns before considering disciplinary actions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incentive spirometer:
An incentive spirometer is used to encourage deep breathing and prevent respiratory complications, but it is not specifically indicated for the management of sleep apnea.
B. Continuous positive airway pressure (CPAP) machine.
The description of the client stopping breathing for 30-second intervals while sleeping at night is suggestive of sleep apnea. A Continuous Positive Airway Pressure (CPAP) machine is commonly used for the management of sleep apnea. It delivers a continuous stream of air to keep the airway open, preventing pauses in breathing during sleep.
C. Yankauer suction equipment:
Yankauer suction equipment is used for oral suctioning and is not related to addressing the breathing pauses associated with sleep apnea.
D. Nebulizer:
A nebulizer is used to administer inhaled medications, typically for respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD). It is not the primary equipment for addressing the respiratory pauses seen in sleep apnea.
Correct Answer is C
Explanation
Docusate sodium 200 mg PO at bedtime:
This prescription is clear. It specifies the medication (Docusate sodium), the dose (200 mg), and the time of administration (at bedtime).
Meloxicam 15 mg PO daily:
This prescription is clear. It specifies the medication (Meloxicam), the dose (15 mg), and the frequency (daily).
Regular insulin 8 units subcutaneous before meals:
Regular insulin 8 units subcutaneous before meals is a vague and potentially dangerous prescription. Regular insulin is a short-acting insulin that lowers blood glucose levels by facilitating the uptake of glucose into the cells. The dose of insulin should be individualized based on the client's blood glucose level, carbohydrate intake, and activity level. The nurse should contact the provider for clarification on how to adjust the dose according to the client's needs.
Fentanyl 25 mcg/hr transdermal patch:
Fentanyl patches are commonly used for chronic pain management. A dose of 25 mcg/hr is within the standard dosing range for patients who are opioid-tolerant. No clarification is typically needed for this prescription.
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