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

Ask the APs to discontinue the conversation.

Inform the client what has occurred.

Notify the client's provider.

Schedule a disciplinary conference for the APS.

Answer and Explanation

The Correct Answer is A

Ask the APs to discontinue the conversation:

This is the most appropriate immediate action. Discussing a client's care in a public area violates the principle of patient confidentiality. The nurse should intervene promptly and ask the assistive personnel to stop the conversation.

Inform the client what has occurred:

While transparency with the client is important, it may not be the first action to take in this situation. The priority is to address the breach of confidentiality by stopping the conversation.

Notify the client's provider:

Notifying the client's provider is not the initial action to take in this situation. First, the nurse should address the immediate issue by stopping the inappropriate conversation. The provider may be informed later, if necessary.

Schedule a disciplinary conference for the APs:

Scheduling a disciplinary conference is a step that may be taken after addressing the immediate issue. The priority is to stop the inappropriate conversation and address confidentiality concerns before considering disciplinary actions.

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Correct Answer is A

Explanation

A. Log off the computer to attend the client's needs:

Logging off ensures that the client’s health information is protected, maintaining confidentiality and compliance with HIPAA regulations. This prevents unauthorized access to sensitive information when the nurse is away from the computer.

B. Complete the documentation before going to the client's room:

While completing documentation is important, the nurse should prioritize responding to the immediate needs of the client. The nurse can return to complete the documentation afterward.

C. Leave the computer in the hallway:

Leaving the computer unattended in the hallway poses a security risk and compromises the confidentiality of the client's information.

D. Minimize the screen while addressing the client's needs:

Minimizing the screen does not secure the information on the computer. It can still be accessed by others, potentially leading to breaches of client confidentiality.

A. Provide the client's breakfast. B. Obtain the client's capillary blood glucose level. C. Check the calibration of the glucometer. D. Administer prescribed insulin.

Correct Answer is C

Explanation

A. Providing the client's breakfast is an essential aspect of diabetes care, but obtaining information about the client's blood glucose level is a priority before administering insulin or making decisions about meal planning.

B. Obtaining the client's capillary blood glucose level is a critical first step. Knowing the current blood glucose level guides the nurse in determining the appropriate insulin dosage, assessing the need for any adjustments in the treatment plan, and planning the client's breakfast based on their current glucose level.

C. Checking the calibration of the glucometer is the first action to ensure the accuracy of the blood glucose measurement. Regular calibration checks help maintain the precision of the glucometer and ensure reliable results.

D. Administering prescribed insulin is an important step in managing type 1 diabetes, but the dosage should be determined based on the client's current blood glucose level. Administering insulin without knowing the current glucose level could lead to inappropriate dosage and potential complications.

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

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Naxlex Comprehensive Predictor Exams

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