A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse?

Rationale:

A. When opening a sterile package or tray, the top flap should be opened away from the body to prevent contamination from the nurse’s uniform. Opening the flap toward the body risks breaking sterile technique, which is especially critical during procedures like thoracentesis. This is a break in sterile field, and the nurse manager should intervene immediately to prevent potential infection.

B. Using clean gloves is appropriate for non-sterile tasks like discontinuing an IV infusion.

C.The telephone number is considered an acceptable identifier according to The Joint Commission if it is in the medical record and used in combination with another identifier (like full name or date of birth).

D. Emptying a colostomy pouch when it is one-third full is appropriate practice to prevent overflow and maintain hygiene.

Rationale:

A. Reinforcing discharge teaching is less critical during a disaster and should be secondary to addressing immediate needs.

B. Focusing on life-threatening emergencies aligns with the priorities in a disaster situation, where resources are limited.

C. Stocking additional supplies should be managed based on current needs and priorities but is not as urgent as immediate patient care.

D. Focusing on ADLs is important but not the priority when dealing with life-threatening situations.