A nurse is reinforcing teaching about client confidentiality with a newly licensed nurse.
Which of the following actions should the nurse include in the teaching?

Choice A rationale

Clustering care activities minimizes disruption and conserves clients’ energy, enhancing recovery. It allows nurses to streamline workflow efficiently while respecting client needs, ensuring holistic, patient-centered care.

Choice B rationale

Setting specific times for low-priority tasks may reduce flexibility and delay care for higher priorities. Effective management requires adaptability and prioritization based on real-time needs and changes.

Choice C rationale

Performing complicated tasks independently contradicts teamwork principles, increasing errors and compromising patient safety. Collaboration ensures thorough assessments and reduces risks in client care.

Choice D rationale

Postponing checking for new prescriptions delays timely interventions, risking medication errors or treatment gaps. Regularly reviewing prescriptions supports safe, effective, and continuous client care. .

Choice A rationale

Applying suction during catheter insertion can damage the tracheal mucosa due to mechanical abrasion. Additionally, it can cause hypoxia as it interrupts normal oxygenation. Best practice is to apply suction only during withdrawal to limit the duration of suction-induced hypoxia.

Choice B rationale

Wearing clean gloves instead of sterile gloves during suctioning increases the risk of introducing pathogens into the airway. A tracheostomy is a direct path to the lungs, requiring aseptic technique to prevent infections such as tracheitis or pneumonia.

Choice C rationale

Waiting 2 minutes between suction passes allows adequate time for the client to reoxygenate and stabilize. Prolonged hypoxia from frequent suctioning can cause complications such as arrhythmias. This practice ensures safer oxygen saturation levels during the procedure.

Choice D rationale

Using suction pressures of 200 mm Hg exceeds the recommended range of 80 to 120 mm Hg for adults. Excessive suction pressure can damage tracheal tissue and cause atelectasis. Proper pressure minimizes risks while effectively clearing secretions.