A nurse is on the elevator when two other nurses enter and start ...

[skymedlock]

A nurse is on the elevator when two other nurses enter and start talking negatively about a family member of a client on the floor. The nurse would do which of the following?
 
  1. Ask the nurses to stop talking in public.
   2. Report the nurses to the unit manager.
   3. Report the nurses to the risk manager.
   4. Speak to the nurses in a private place.

Question 2

The nurse is providing care for a client who had a heart transplant because of cardiomyopathy. Which of the following should the nurse monitor in the immediate postoperative period?
 
  1. Ileus
   2. Liver failure
   3. Renal failure
   4. Rejection

[ergserg]

Answer to Question 1

4. Speak to the nurses in a private place.

Rationale:
If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.

Answer to Question 2

4. Rejection

Rationale:
Rejection can develop immediately after a transplant, even though this is a rare occurrence. An ileus could occur as a result of inactivity and would not be evident in the immediate postoperative period. Liver and renal function would be impacted later in the client's progress.

[skymedlock]

Thanks for the timely response, appreciate it

[zacnyjessica]

TYSM