A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Notify the client's provider about the incident.
Instruct the AP to discontinue the conversation.
Complete an incident report about the breach of client confidentiality.
Reassign the AP to other clients on the unit.
The Correct Answer is B
Instrucing them to discontinue the conversation immediately offers a solution instantly protecting the client's confidentiality.
While notifyin the provider and completing an incident report may be feasile, they may delay intervention leading to more harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The client with slurred speech and confusion could be experiencing a stroke. Recognition of a stroke is an emergency as some forms of stroke requires immediate intervention that is only amenable within a specific time period.
A. A closed femur fracture may have bleeding and other neurovascular damage but this is not as life threatening as a stroke
B. Superficial burns of 10% is likely to have severe pain. The extent of dehydration is minimal
C. Severe vomiting and diarrhea with tachycardia is a sign that the body is compensating for the fluid loss at this point and, therefore, not of highest priority.
Correct Answer is D
Explanation
A red tag is assigned to clients with a serious life-threatening condition that requires immediate intervention. According to the ABCs of basic life support, the client with a compromised has a life-threatening condition as it might lead to death if left unaddressed.
A, B, C have concerns that requires attention but airway should be addressed first. The other clients have less urgent conditions that can be assigned lower priority tags.
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