A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?

Choice A Reason:

A. Changing the appliance on a new colostomy requires specialized knowledge of ostomy care and assessment, including assessing stoma health and proper technique.

Choice B Reason:

This is an appropriate task to delegate to an AP. APs are trained to perform basic tasks like catheter care under the supervision of a nurse.

Choice C Reason

Demonstrating how to use an incentive spirometer involves patient education and assessment of the patient's ability to perform the procedure correctly, which requires clinical judgment and teaching skills and should not be delegated to an AP.

Choice D Reason:

This task involves assessing the wound, which requires clinical judgment and should be done by a nurse, not an AP.

Correct answer: D

A.Sharing a client's substance use information with their employer without their consent may violate confidentiality and privacy laws.

B.Sharing information about a client's suicide with another nurse may be appropriate for staff who need to know for safety reasons but should be done carefully and only with those who have a legitimate need for the information.

C.Sharing a client's medical information with their partner in this scenario may be appropriate under certain circumstances. However, it's essential to consider the client's safety and well-being first. If the client has reported intimate partner abuse, the nurse must assess the risk of harm to the client if their partner is informed. Depending on the situation, it may be necessary to involve other healthcare professionals, such as social workers or law enforcement, to ensure the client's safety. Before sharing any information with the partner, the nurse should follow institutional policies and legal requirements, which often involve obtaining the client's consent or assessing the potential harm of disclosure.

D.Sharing a client's medical information with a social worker who is directly involved in the client's care is generally appropriate and often necessary for effective interdisciplinary collaboration. In this scenario, the social worker is assigned to the client and is likely involved in coordinating the client's care and support services. Sharing relevant medical information with the social worker can facilitate continuity of care and help ensure that the client's needs are met appropriately. However, it's essential for the nurse to adhere to confidentiality requirements and only share information on a need-to-know basis, ensuring that the information is used for the purpose of providing care and support to the client.