A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first?
Report the incident to the charge nurse.
Tell the staff members to stop their discussion.
Participate in an in-service about client confidentiality.
Speak to the staff members in private about client confidentiality.
The Correct Answer is B
A. Reporting the incident to the charge nurse is incorrect as the first step. While this action may be necessary if the issue continues, the immediate step should be to intervene directly to stop the conversation and prevent further breach of confidentiality.
B. Telling the staff members to stop their discussion is correct. The nurse should immediately address the situation by asking the APs to stop discussing the client’s medical history in the hallway to protect client confidentiality. This is the most immediate and effective action in ensuring the client’s privacy is respected.
C. Participating in an in-service about client confidentiality is incorrect as the first step. While in-service education on client confidentiality is important, it is not an immediate action to address a current breach of confidentiality.
D. Speaking to the staff members in private about client confidentiality is incorrect. While private conversation is important to address the issue further, the first action is to stop the conversation immediately to prevent any further privacy violations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Step 1: Determine the desired dose
The desired dose is 60 mg of ibuprofen.
Step 2: Calculate the dose per mL
The available concentration is 50 mg per 1.25 mL.
Step 3: Set up a proportion to find the volume needed
(50 mg / 1.25 mL) = (60 mg / x mL)
Step 4: Solve for x
x = (60 mg 1.25 mL) / 50 mg
x = 1.5 mL
Correct Answer is C
Explanation
A. Oranges is incorrect. Oranges are not a choking hazard as long as they are peeled and cut into small pieces for a toddler. The nurse should not include oranges in a list of choking hazards for toddlers.
B. Potatoes is incorrect. Potatoes themselves are not a choking hazard for toddlers, though whole or large pieces could pose a risk. The risk comes from how the food is prepared, not the food itself. If properly cooked and mashed or cut into small pieces, potatoes are safe.
C. Grapes is correct. Grapes are a common choking hazard for toddlers because they are small, round, and can easily block the airway if not properly cut into small pieces. The nurse should definitely include grapes in the pamphlet as a choking hazard.
D. Corn is incorrect. Corn kernels are not typically a choking hazard for toddlers unless they are served as whole kernels, which could pose a risk if not chewed properly. However, corn in the form of pureed corn or small pieces is safe for toddlers to eat.
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