A hospice nurse is caring for a client who is experiencing acute air hunger. Which of the following actions should the nurse take?

Rationale:

A. Recommending a seating arrangement for a child in a body cast is incorrect because this is secondary or tertiary prevention. It addresses an existing condition (body cast/immobilization) and aims to prevent complications, not to prevent the initial injury or condition.

B. Creating a plan of care for children who have a diagnosis of diabetes mellitus is incorrect because this involves managing an existing disease, which falls under tertiary prevention (reducing complications and supporting optimal functioning).

C. Teaching a class about the risks of cigarette smoking is correct because it is primary prevention, aimed at preventing students from starting to smoke, reducing risk factors before disease develops.

D. Organizing a program to promote skateboard safety is correct because it is primary prevention, focused on preventing injuries before they occur by educating children about safe practices and protective equipment.

E. Lobbying for funding for health promotion efforts is correct because it supports broader primary prevention initiatives, such as school-wide vaccination programs, nutrition education, or safety campaigns, aimed at preventing illness or injury at the population level.

Rationale:

A. Minimize the computer application is incorrect because minimizing a window does not log the nurse out or secure the system. Anyone passing by can still access the EHR or sensitive patient information if the computer is left unlocked.

B. Log out of the computer is a secure option but is more time-consuming. Logging out requires re-entering credentials to resume work, which can interrupt workflow during brief absences. It is most appropriate for long breaks or end-of-shift documentation.

C. Close the computer screen is incorrect because physically closing a laptop or monitor does not prevent the EHR from being accessed if the system is not locked or logged out. Someone could open the screen and gain unauthorized access.

D. Lock the computer with their password is correct because it immediately secures the EHR while allowing the nurse to quickly resume documentation. Locking the computer prevents unauthorized access, protects sensitive patient information, and aligns with institutional policies for computer security. It is the recommended practice whenever stepping away from a workstation, even briefly.