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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?

A.

Log the previous user out of the system.

B.

Offer to conduct a unit in-service on client confidentiality.

C.

Report the incident to the charge nurse.

D.

Complete an incident report.

Answer and Explanation

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. Providing postmortem care is a task that can be delegated to assistive personnel, as it involves following established protocols and does not require clinical judgment.

B. Reinforcing discharge instructions requires clinical knowledge and assessment, making it inappropriate for delegation to an AP.

C. Interpreting deviations in a client's vital signs necessitates nursing judgment and clinical expertise, which an AP does not possess.

D. Inserting an NG tube is a skilled nursing procedure that requires assessment and decision-making, thus it should not be delegated to an AP.

Correct Answer is A

Explanation

A. Raisin toast is a bland carbohydrate that is generally well-tolerated and can help settle the stomach, making it a suitable choice for clients experiencing chemotherapy-induced nausea.

B. Soft-serve ice cream may be too rich and can upset the stomach for some clients undergoing chemotherapy, leading to increased nausea.

C. String cheese is high in fat and protein, which might not be well-tolerated during episodes of nausea, as heavy foods can exacerbate discomfort.

D. Hot tea may be soothing for some clients; however, certain herbal teas can sometimes provoke nausea or have an adverse effect, making it less ideal than bland carbohydrates.

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