The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action?
Try not to listen to the conversation since it is confidential.
Write an incident report and submit it to the unit manager.
Approach the individuals involved and ask them to stop.
Tell the client of the UAP's concern for him.
The Correct Answer is C
A. Trying not to listen to the conversation does not address the issue of confidentiality breach or protect the client's privacy.
B. Writing an incident report might be necessary, but the immediate action should be to stop the conversation to protect the client's confidentiality.
C. Approaching the individuals involved and asking them to stop is the most appropriate and immediate action to protect the client's privacy and confidentiality.
D. Telling the client about the UAP's concern might not be suitable without context or proper consent, and it might not address the confidentiality breach.
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Related Questions
Correct Answer is D
Explanation
A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.
Correct Answer is C
Explanation
A. Foam mattress pad - Foam mattress pads primarily provide cushioning and pressure relief, not specifically designed to prevent hip rotation.
B. Trapeze bar - Trapeze bars assist with mobility but do not directly prevent hip rotation.
C. Trochanter rolls - These are specifically designed to prevent external rotation of the hips by supporting the thighs, aiding in maintaining proper hip alignment.
D. Draw sheet - While useful for repositioning and transferring patients, a draw sheet doesn't prevent hip rotation when the patient is in a supine position
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