A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?
Log the previous user out of the system.
Offer to conduct a unit in-service on client confidentiality.
Report the incident to the charge nurse.
Complete an incident report.
The Correct Answer is A
A. Logging the previous user out of the system immediately ensures the client's health information is no longer visible, protecting the client's privacy according to HIPAA guidelines.
B. Offering to conduct an in-service on client confidentiality is a proactive measure but does not address the immediate privacy issue.
C. Reporting the incident to the charge nurse is appropriate but does not prevent unauthorized viewing of the client's information immediately.
D. Completing an incident report is necessary to document the breach, but it should occur after protecting the client’s privacy by logging out.
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Correct Answer is A
Explanation
A. Activating the fire alarm is the immediate priority after ensuring the client's safety, as it alerts the entire facility to the potential danger and initiates the fire response protocol.
B. Closing the door to the client's room is important for containing the fire but is secondary to activating the alarm to ensure that emergency services are alerted.
C. Reporting the fire details to the facility emergency extension is necessary but should be done after the alarm has been activated to ensure that help is dispatched quickly.
D. Turning off electrical equipment may not be safe or possible in the event of a fire; the focus should be on evacuation and alerting emergency services.
Correct Answer is B
Explanation
A. Keeping the water heater set below 60° C (140° F) is important for preventing scalding but may not be feasible for everyone, as some people prefer hotter water for hygiene.
B. Disposing of unused medications is a critical safety measure to prevent accidental ingestion or misuse, making it the best choice for home safety education.
C. Setting the refrigerator temperature to 7.2° C (45° F) is higher than the recommended maximum of 4° C (40° F) to prevent food spoilage and bacterial growth.
D. Running electrical cords under carpeting poses a fire hazard and should be avoided, thus is not suitable advice for a safety presentation.