A nurse is caring for a client who is eligible for a research study. Which of the following should provide informed consent to enroll in the study?

A. Client 1 - Lyme disease is a reportable infectious disease in many jurisdictions due to its potential public health implications. Given that it is transmitted by tick bites, it is crucial to notify the health department to help track the incidence and potential outbreaks in the area.

B. Client 2 - Acute hepatitis C is also a reportable disease, especially given the client's history of IV substance use. Reporting aids in monitoring and controlling the spread of the disease, as it can be transmitted through blood and sharing of needles.

C. Client 3 - Clostridium difficile infections are typically not reported to the health department, as they are often linked to healthcare settings and do not pose a public health threat in the same way as other infectious diseases.

D. Client 4 - Salmonellosis is a reportable illness as it can be associated with outbreaks linked to foodborne transmission. Reporting is essential for investigating sources of infection and preventing further cases.

E. Client 5 - While Streptococcal pharyngitis is common and can cause outbreaks, it is generally not classified as a reportable disease to public health departments. Instead, treatment and monitoring are usually managed within healthcare settings.

F. Client 6 - Pertussis (whooping cough) is highly contagious and considered a reportable disease due to its potential to cause outbreaks, especially among vulnerable populations. Reporting allows for monitoring and preventive measures to be implemented in the community.

A. Referring the AP to the facility procedure manual does not provide immediate support or correct the unsafe practice observed. It may not address the situation in real-time.

B. While instructing the AP to request assistance is important for future situations, it does not immediately rectify the incorrect technique being used at that moment.

C. While demonstrating the correct technique is valuable, the immediate priority is ensuring the client’s safety by assisting with the current transfer. A demonstration should follow after the immediate risk has been managed.

D. The first priority is client safety. If the nurse manager observes an incorrect transfer technique, the immediate response should be to intervene to prevent injury to the client or the AP. Assisting with the transfer ensures that the client is safely positioned while also providing an opportunity to correct the AP's actions in real time.