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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Pipe cleaners are not typically used for tracheostomy care. However, tracheostomy care kits may include brushes or other cleaning devices designed for cleaning the inner cannula of the tracheostomy tube.
B. A portable oxygen tank may be necessary for a client with a tracheostomy, particularly if the tracheostomy was placed due to respiratory insufficiency or if the client needs supplemental oxygen to maintain appropriate oxygen saturation.
C. An obturator is used to insert the tube in the case of dislodgement at home.
D. Cotton balls are generally not recommended for tracheostomy care. They can leave fibers behind and may pose a risk of aspiration. They do not serve a significant purpose in the management of a tracheostomy.
B. An oxygen tan is unsafe for use at home as it increases the risk of fire.
E- Petroleum jelly is useful in the later stages when hyper granulation occurs.
Correct Answer is C
Explanation
In this scenario, the nurse has a role to respect the parents’ autonomy but also be an advocate for the health of the client who is a minor. The nurse needs the input of the ethics committee to assist in navigating the ethical dilemma.
The other clients’, A, B and D, do not pose any ethical dilemmas for the nurse as they are adult and can make legally binding decisions.
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