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 B
Explanation
A. Erythema is a sign of infection or irritation, not fluid infiltration. Fluid infiltration typically does not cause redness or inflammation.
B. Edema is correct. Fluid infiltration occurs when the IV catheter becomes displaced and the fluid leaks into the surrounding tissue, causing swelling (edema. at the insertion site.
C. Blood would suggest either an accidental dislodging of the catheter or a complication such as hematoma formation, but it is not a sign of fluid infiltration.
D. Pruritus (itching) is typically associated with an allergic reaction, not fluid infiltration.
Correct Answer is D
Explanation
A. Tell the client she should discuss this decision with her family.: This is incorrect. While family involvement can be important in decisions regarding treatment, the nurse should respect the client's autonomy and support their right to make decisions about their own care.
B. Discuss alternative treatment methods with the client.: This is incorrect. Since the client has already made the decision to stop dialysis, the nurse should not push alternative treatment methods. The focus should be on supporting the client’s decision rather than presenting options they have chosen not to pursue.
C. Ask the facility chaplain to visit the client.: While a chaplain may provide valuable spiritual support, this is not the first action the nurse should take. It is more important to first support the client’s decision and ensure they are informed about the consequences.
D. Support the client's decision to stop the treatment.: This is correct. The nurse should support the client’s decision and provide care that aligns with the client’s values and wishes. It’s important to respect the client's right to make informed choices about their care, including the decision to discontinue dialysis.
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