The practical nurse (PN) overhears a conversation between an unlicensed assistive personnel (UAP) and another staff member in the hospital cafeteria line concerning a client's reaction to being given a diagnosis of terminal cancer. What is the best nursing action?
Write an incident report and submit it to the unit manager.
Try not to listen to the conversation since it is confidential.
Approach the individuals involved and ask them to stop.
Tell the client of the UAP's concern for him.
The Correct Answer is C
A. Write an incident report and submit it to the unit manager: Filing an incident report is appropriate for serious breaches of protocol, but the immediate priority is to stop the inappropriate discussion to protect client confidentiality.
B. Try not to listen to the conversation since it is confidential: Ignoring the conversation does not address the violation of privacy that is occurring. The PN has a professional responsibility to intervene when confidentiality is breached.
C. Approach the individuals involved and ask them to stop: Directly intervening ensures the conversation ceases and reinforces the importance of client confidentiality. Immediate action protects the client’s privacy and maintains professional standards of care.
D. Tell the client of the UAP's concern for him: Sharing details of the conversation with the client would further breach confidentiality and is inappropriate. The PN’s focus should be on stopping the discussion among staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4.3"]
Explanation
Prescribed dose = 325 mg
Available concentration = 375 mg per 5 mL
Calculate the volume in milliliters (mL) to administer.
Volume (mL) = (Prescribed dose (mg) / Available concentration (mg)) x Available volume (mL)
= (325 mg / 375 mg) x 5 mL
= 0.8667 x 5 mL
= 4.335 mL.
Round the answer to the nearest tenth.
= 4.3 mL.
Correct Answer is D
Explanation
A. Increase the oxygen delivery by 10%: While hypoxemia is present, simply increasing oxygen may be insufficient for a client who is difficult to arouse and in severe respiratory distress. Immediate advanced airway intervention is a higher priority.
B. Administer PRN nebulizer treatment: Bronchodilators can improve airway obstruction but will not rapidly correct profound hypoxemia or altered mental status in a critically decompensating client. This intervention alone is not adequate.
C. Complete neurological assessment: Assessing neurological status is important, but the client’s low oxygen saturation and decreased responsiveness indicate a life-threatening situation that requires immediate intervention before completing a full assessment.
D. Prepare for rapid sequence intubation: The client exhibits severe hypoxemia, high respiratory rate, and decreased level of consciousness—signs of impending respiratory failure. Rapid sequence intubation ensures airway protection and adequate ventilation, which is the priority action to prevent respiratory arrest.
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