A nurse manager is monitoring an employee's actions on their unit.

Drag words from the choices below to fill in each blank in the following sentence.

When planning to intervene, the nurse manager identifies that the nurse employee's actions place the nurse employee at risk for

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,

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and

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Rationale:

A. This option is incorrect because accessing the partner’s electronic health record (EHR) without their consent violates HIPAA regulations and the partner’s right to confidentiality. Nurses cannot share another client’s medical information without proper authorization.

B. This option is correct because the nurse should involve the nurse caring for the partner to provide a status update. This ensures the client receives accurate information while maintaining the partner’s privacy and adhering to legal and ethical standards.

C. This option is incorrect because a vague statement that a staff member will check on the partner does not provide accurate information or involve the appropriate staff. It may increase anxiety and does not guarantee privacy or compliance with HIPAA.

D. This option is incorrect because providing only a general update without involving the appropriate staff does not give the client accurate or timely information and does not address their immediate concern. It is important to involve the partner’s nurse or care team to communicate safely and appropriately.

Rationale:

A. This option is incorrect because using the abbreviation “q6h PRN” may be confusing for some clients. Discharge instructions should be written in plain language, specifying “take every 6 hours as needed for pain” to ensure understanding and reduce the risk of medication errors.

B. This option is correct because instructing the client to report pus-like drainage from the surgical wound is clear, specific, and actionable. It communicates a warning sign of potential infection that requires immediate attention, which is essential for safe postoperative care. This demonstrates the nurse’s understanding of effective discharge instruction principles.

C. This option is incorrect because a sodium-restricted diet is not typically indicated for a client after arthroplasty unless there is a coexisting condition such as hypertension or heart failure. Including unnecessary instructions can confuse the client and reduce adherence to relevant care directives.

D. This option is incorrect because while quadriceps setting exercises are part of postoperative rehabilitation, specifying the position “when supine” may be too technical. Discharge instructions should focus on functional, easily understandable instructions that the client can safely perform at home.