A nurse is assisting in the care of a newly admitted client.

Exhibits

Which of the following findings should the nurse report immédiately to the provider?Select all that apply.

A. An advanced practice nurse, such as a nurse practitioner or clinical nurse specialist, has the training to assess medication interactions and adjust prescriptions if necessary. They can evaluate the client's medications, consider potential adverse effects, and collaborate with the prescribing provider. Consulting an advanced practice nurse ensures safe and effective medication management.
B. A psychologist focuses on mental health assessment and therapy but does not prescribe or manage medications. They may help clients cope with medication-related concerns, but they lack the authority to assess or modify prescriptions. Medication-related inquiries should be directed to a medical provider or pharmacist.
C. A social worker assists clients with psychosocial needs, financial concerns, and community resources but does not have the expertise to evaluate medication interactions. They can provide support for medication access or adherence issues but not clinical medication guidance. Medication safety requires consultation with a qualified medical professional.
D. A patient care technician provides basic client care, such as vital sign monitoring and assisting with activities of daily living. They do not have the training to assess medication interactions or provide pharmacological advice. Medication concerns should be referred to a licensed healthcare provider.

A. "Droplet precautions require that I wear a gown and gloves when providing client care." Droplet precautions require wearing a surgical mask when within three feet of the client, but gowns and gloves are only needed if direct contact with secretions is expected. Incorrect PPE use can lead to inadequate protection or unnecessary resource use. Understanding specific precaution types ensures proper infection control.
B. "Following a blood spill, I should use a bleach solution with a ratio of 1 to 20." Blood spills should be cleaned using a 1:10 bleach solution, not 1:20, to ensure effective decontamination. A stronger bleach concentration eliminates bloodborne pathogens like HIV and hepatitis B. The solution should be applied to the spill and left to sit before wiping. Using an incorrect dilution reduces disinfection effectiveness.
C. "Soiled dressings should be placed in a biohazard trash receptacle." Soiled dressings contain bodily fluids and potential pathogens, so they must be disposed of in a biohazard waste container. Regular trash does not provide adequate containment and increases the risk of contamination. Proper disposal protects healthcare workers and the environment from infection. Adhering to these protocols ensures compliance with infection control standards.
D. "For a client who has Clostridium difficile, I will cleanse my hands with an alcohol-based rub." Alcohol-based hand sanitizers are ineffective against Clostridium difficile spores, requiring handwashing with soap and water. The mechanical action of scrubbing is necessary to remove spores from the hands. Proper hand hygiene reduces transmission risks in healthcare settings. Infection control protocols emphasize soap and water for C. difficile prevention.