A nurse is assisting in the care of a client who is 4 days postpartum and has endometritis. Which of the following interventions should the nurse anticipate will be included in the plan of care?

Rationale:

A. A nursing colleague discussing a client's treatment plan with another nurse on the unit as part of the end-of-shift handoff report: This is an appropriate and necessary exchange of client information for continuity of care. It supports safe, effective handoff communication between nurses involved in the client’s treatment.

B. A nursing colleague discussing a client's diagnosis with another staff member on the unit who is not involved in the client's care: This violates the Health Insurance Portability and Accountability Act (HIPAA) by sharing protected health information with someone not directly involved in the client’s care, regardless of location or setting.

C. A nursing colleague documenting vitals in the electronic medical record (EMR) of a client that the colleague is caring for: This is an expected and proper part of nursing responsibilities. Accurate and timely documentation in the EMR is essential for effective communication and patient safety.

D. A nursing colleague printing material that does not obtain identifiable information from a client's electronic medical record (EMR) for professional use: If no identifiable health information is included, printing such materials for professional reference or education is acceptable and does not violate confidentiality rules.

Rationale:

A. "Use a home device to monitor the newborn’s respiration.": Home apnea monitors have not been proven to reduce the risk of SUID and are not routinely recommended for healthy newborns. Reliance on these devices may provide a false sense of security.

B. "Offer the newborn a pacifier during sleep times.": Using a pacifier during sleep has been shown to reduce the risk of SUID. It may help maintain airway patency and promote lighter sleep, which decreases the risk of airway obstruction.

C. "Minimize the number of middle-of-the-night feedings.": Frequent feedings are important for newborn nutrition and do not increase the risk of SUID. Reducing feedings is neither safe nor recommended.

D. "Place the newborn on a slightly inclined sleep surface.": Infants should be placed on a firm, flat sleep surface to minimize SUID risk. Inclined surfaces increase the risk of airway obstruction and are unsafe for infant sleep.