A nurse is planning care for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following actions should the nurse anticipate taking?

A. "Discarding worksheets containing client information in a wastebasket." Client information should be disposed of properly to prevent unauthorized access. Documents containing protected health information should be shredded or placed in designated confidential disposal bins rather than a regular wastebasket.
B. "Writing a client's diagnosis on the message board in the client's room." Publicly displaying a client’s diagnosis can lead to unauthorized disclosure of protected health information. While message boards can be used for general reminders such as scheduled tests, they should not include sensitive medical details.
C. "Discussing a client's prognosis with an assistive personnel who is caring for the client." While assistive personnel may need to know some aspects of a client’s care, discussing a prognosis typically falls outside their scope of practice and should be limited to appropriate healthcare professionals involved in decision-making.
D. "Giving change-of-shift report to a nurse outside the client's room." Conducting shift reports in a private or semi-private setting with only authorized personnel helps protect client confidentiality. While reports may sometimes occur at the bedside for continuity of care, they should be done in a way that minimizes exposure of personal health information to others who are not directly involved in the client's care.

A. Use the arms to pick up heavy items. Lifting heavy objects using only the arms increases strain on the back, worsening pain. Pregnant clients should bend at the knees and lift with their legs while keeping the back straight to reduce stress on the lumbar region.
B. Raise chairs to keep knees lower than hips. Sitting with knees lower than the hips can worsen lumbar lordosis, increasing back discomfort. Instead, knees should be at or slightly above hip level to maintain spinal alignment and reduce strain on the lower back.
C. Perform pelvic rocking exercises several times per day. Pelvic rocking strengthens and stretches lower back muscles, improving flexibility and reducing discomfort. This exercise helps alleviate strain from the growing uterus and supports better posture, decreasing back pain.
D. Sit in a hot tub for 30 min every evening. Prolonged exposure to high temperatures, such as in a hot tub, can cause maternal hyperthermia, increasing the risk of fetal neural tube defects. Warm baths are a safer option to relieve muscle tension without harmful effects.