A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

File a grievance report about the breach of confidentiality.

Discuss the incident with another staff nurse.

Counsel the staff members about the breach of confidentiality.

Report the staff members actions to the state board of nursing.

Answer and Explanation

The Correct Answer is C

A.   Filing a grievance report is a formal action and may be premature in this situation. It is typically reserved for more serious or repeated violations. Addressing the issue directly with the involved staff members or through a less formal channel might be more appropriate initially to understand the context and correct the behavior.
B.   Discussing the incident with another staff nurse might spread the information further and does not address the issue directly with the involved parties. It’s essential to handle breaches of confidentiality by directly addressing them with those involved or through the proper channels to maintain professional boundaries and ensure confidentiality is respected.
C.   Counseling the staff members about the breach of confidentiality is a direct and appropriate action. This approach addresses the issue with the individuals involved and provides an opportunity for education and correction. It helps ensure that the staff understand the importance of maintaining client confidentiality and prevent future breaches.
D.   Reporting the actions to the state board of nursing is a serious step and is usually reserved for significant or repeated violations of professional conduct. For a first-time or minor breach, it might be more appropriate to address the issue internally through counseling or reporting it to a supervisor before escalating it to the state board.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. If the client requires supplemental oxygen, an oxygen tank may be necessary. Clients with tracheostomies might need supplemental oxygen depending on their underlying condition and oxygenation needs. However, not all tracheostomy patients will require an oxygen tank, so this depends on the specific medical situation of the client.
B. Pipe cleaners are not a standard supply for tracheostomy care. They are not recommended for cleaning the tracheostomy tube or the stoma. Instead, tracheostomy care usually involves cleaning with specific, approved cleaning supplies and techniques, such as sterile saline or tracheostomy care kits.
C. The obturator is a crucial tool used in the initial placement of a tracheostomy tube. It helps guide the tube into place. While not always needed on a daily basis, the obturator should be kept accessible in case the tracheostomy tube needs to be replaced or if the tube becomes dislodged. It is important for emergency situations to have an obturator available.
D. Cotton balls are not recommended for tracheostomy care because they can shed fibers that may cause irritation or potential obstruction in the tracheostomy tube. Instead, sterile gauze or other appropriate dressing materials are used to manage the area around the tracheostomy.
E. Petroleum jelly should not be used around the tracheostomy stoma or on the tracheostomy tube. It can cause a buildup of residue, potentially leading to irritation or infection. It is important to use only recommended products and techniques for tracheostomy care, such as sterile saline or appropriate tracheostomy care products.

A. A client who has fixed pupils B. A client who experienced a brief loss of consciousness C. A client who has a compromised airway D. A client who has major burns covering 70% of their body

Correct Answer is C

Explanation

A. Fixed pupils indicate a potential severe neurological issue, such as brain injury or death. However, this sign alone does not necessarily mean that immediate intervention would be effective. In a triage setting, clients with fixed pupils are often classified as having a very poor prognosis and might be tagged as black (deceased) if their condition is deemed non-salvageable, rather than red.
B. A brief loss of consciousness (syncope) can be a sign of various issues, but it might not immediately signify a life-threatening condition requiring immediate intervention. In a triage setting, this client would likely be assessed for further symptoms and categorized based on their overall condition and immediate needs.
C. A compromised airway is a critical and life-threatening condition. In triage, clients with compromised airways are given a red tag because they require immediate intervention to secure the airway and
ensure breathing. Without prompt treatment, this client’s chances of survival are significantly reduced.
D. While major burns covering 70% of the body are severe and life-threatening, the immediate need for intervention and the likelihood of survival with immediate treatment are crucial considerations. In a triage scenario, such clients are often tagged based on the availability of resources and their overall prognosis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

Correct Answer is C

Explanation

A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?

A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?