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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 C

Explanation

A. Wearing protective eyewear is not typically required for dressing changes unless there is a risk of splashing or spraying of fluids.

B. A mask is not necessary for dressing changes unless there is a risk of respiratory droplet transmission, which is not applicable in this situation.

C. Using dedicated equipment for the client is crucial to prevent the spread of MRSA and ensure infection control.

D. Turning on the HEPA filtration system is not a standard practice for dressing changes and does not specifically address the infection control needs of the client with MRSA.

Correct Answer is C

Explanation

A. Placing a midstream urine sample in a specimen refrigerator is an appropriate practice and does not pose an infection control hazard.

B. Wiping a countertop with chlorhexidine solution is a correct practice following a blood spill and contributes to infection control.

C. Pouring sterile 0.9% sodium chloride irrigation solution directly onto an open pressure wound before collecting a specimen poses an infection control hazard, as it can introduce contaminants to the wound and affect the culture results.

D. Using alcohol-based antiseptic to clean hands after interacting with a client who has varicella zoster is an appropriate infection control measure and reduces the risk of spreading infection.

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