The nurse is caring for a client whose family is visiting for the morning. The client has a wound that must be irrigated with medication and redressed before noon. Which of the following actions should the nurse initiate?
1. Irrigate and redress the wound during the family visit.
2. Ask the family to step out of the room for a while.
3. Ask the client, in private, if he wants the family present during treatment.
4. Have the client ask the family to leave.
3
Rationale 1: The client has a right to privacy and confidentiality. It is best to ask the client, without the family present, if the client wishes the family present during the procedure. The burden of asking the family to leave the room should not be placed on the client. The nurse, as the client advocate, should ask the family to leave if the client requests it.
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