Exhibits

Select the 2 actions the nurse should prepare to take for the client.

A. "Discarding worksheets containing client information in a wastebasket." Client information should be disposed of properly to prevent unauthorized access. Documents containing protected health information should be shredded or placed in designated confidential disposal bins rather than a regular wastebasket.
B. "Writing a client's diagnosis on the message board in the client's room." Publicly displaying a client’s diagnosis can lead to unauthorized disclosure of protected health information. While message boards can be used for general reminders such as scheduled tests, they should not include sensitive medical details.
C. "Discussing a client's prognosis with an assistive personnel who is caring for the client." While assistive personnel may need to know some aspects of a client’s care, discussing a prognosis typically falls outside their scope of practice and should be limited to appropriate healthcare professionals involved in decision-making.
D. "Giving change-of-shift report to a nurse outside the client's room." Conducting shift reports in a private or semi-private setting with only authorized personnel helps protect client confidentiality. While reports may sometimes occur at the bedside for continuity of care, they should be done in a way that minimizes exposure of personal health information to others who are not directly involved in the client's care.

• Urticaria: Present in latex allergy, as hypersensitivity reactions to latex can cause pruritic hives due to histamine release.
• Hypercapnia: Present in malignant hyperthermia, as it results from uncontrolled skeletal muscle contractions leading to excessive carbon dioxide production.
• Wheezes: Present in latex allergy due to bronchoconstriction and airway hypersensitivity, which can lead to respiratory distress.
• Muscle rigidity: Present in malignant hyperthermia, as sustained muscle contractions occur due to excessive calcium release in skeletal muscles.
• Tachycardia: Present in both malignant hyperthermia and hypovolemic shock. Malignant hyperthermia causes tachycardia due to increased metabolic activity and hypercapnia, while hypovolemic shock results in tachycardia as a compensatory mechanism for reduced circulating volume.