A nurse is caring for a client who is on isolation precautions. Which of the following pieces of personal protective equipment should the nurse remove first?

Rationale:

A. "Go to bed at least 2 hours earlier than usual.": Going to bed earlier may increase total sleep time, but it does not directly address the cause of nighttime awakening—frequent urination. Earlier bedtime alone is unlikely to improve the client’s quality of sleep.

B. "Have a snack before bedtime.": A bedtime snack may help prevent nausea or maintain blood sugar levels but does not reduce nighttime urinary frequency. In some cases, it might lead to increased fluid intake, potentially worsening nocturia.

C. "Drink a cup of chamomile tea at bedtime.": While chamomile may promote relaxation, it is also a fluid, which can increase bladder activity during the night. Encouraging tea before bed may worsen the client's urinary frequency and sleep disruption.

D. "Take regular rest periods during the day.": Taking rest periods throughout the day can help reduce overall fatigue and minimize sleep disruption caused by nocturia. Resting during the day compensates for nighttime interruptions and supports maternal well-being in early pregnancy.

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.