A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

Instruct the AP to discontinue the conversation.

Notify the client's provider about the incident.

Reassign the AP to other clients on the unit.

Complete an incident report about the breach of client confidentiality

Answer and Explanation

The Correct Answer is D

A.   By instructing the AP to stop discussing the client's care in a public area, the nurse helps prevent further exposure of sensitive information. However, while this step is necessary to immediately correct the behavior, it is not sufficient on its own to address the breach thoroughly.
B.   This action is not appropriate as the primary responsibility for addressing a breach of confidentiality falls within the scope of nursing management and organizational policies, rather than the client's provider.
C.   Reassigning the AP does not address the issue of confidentiality. The priority is to correct the behavior and ensure that such breaches do not occur in the future. Reassignment would not resolve the confidentiality breach or prevent further incidents.
D.   This action is appropriate because it provides a formal mechanism to document the breach of confidentiality. Completing an incident report ensures that the issue is recorded and can be reviewed by management to address the breach and prevent future occurrences.

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Correct Answer is C

Explanation

A. Cutaneous anthrax is caused by a bacterium, not a virus, so antiviral medications are not effective for treating it. The treatment for cutaneous anthrax involves antibiotics, not antiviral drugs. Thus, planning to administer antiviral medication is not appropriate for this condition.
B. While N95 respirators are used for airborne precautions, cutaneous anthrax is not typically transmitted via airborne routes. The primary mode of transmission is through direct contact with infected animal products or contaminated materials. Standard precautions are usually sufficient for cutaneous anthrax, but in certain settings, additional precautions might be considered based on specific facility protocols.
C. The treatment of cutaneous anthrax involves the administration of antibiotics. The recommended antibiotics include ciprofloxacin, doxycycline, or a combination of these. Early and effective antibiotic treatment is crucial to manage the infection and prevent complications.
D. A surgical mask is typically used to prevent the spread of respiratory droplets and is more relevant for infections that are spread through the respiratory route. Since cutaneous anthrax is not transmitted through respiratory droplets, placing a surgical mask on the client during transfer is not required.

A. The nurse turns her back to the sterile field. B. The nurse holds her hands above her waist. C. The nurse applies goggles. D. The nurse puts on a face mask.

Correct Answer is B

Explanation

A. Turning one's back to the sterile field is not an appropriate aseptic technique. Doing so risks contaminating the sterile field as the nurse’s back may inadvertently come into contact with sterile items or may cause contamination from the environment.
B. Holding the hands above the waist is correct aseptic technique. Once sterile gloves are donned, the nurse should keep their hands above the waist and in front of them to maintain sterility. This position helps prevent accidental contamination of the gloves or sterile field and ensures that the hands remain within the sterile zone.
C. While applying goggles is an important part of personal protective equipment (PPE) in some situations, it is not specifically related to maintaining surgical asepsis after donning a sterile gown and gloves. Goggles may be used for protection against splashes or droplets, but they do not directly impact the sterility of the surgical field or the aseptic technique of handling sterile items.
D. Putting on a face mask is an essential part of PPE for maintaining sterile technique and protecting both the patient and the nurse from contamination. However, this action typically occurs before donning the sterile gown and gloves.

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A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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