A nurse enters the hallway and discovers a visitor looking at a client’s medical information on a computer. Which of the following actions should the nurse take first?
Close the documentation program on the computer
Find out which staff member left the documentation program on the screen
Tell the charge nurse that visitor viewed a client’s protected health information
Inform the visitor that client records are confidential
The Correct Answer is A
- Rationale for A: Closing the documentation program immediately ensures that no further unauthorized viewing of the client's medical information occurs. It is the most direct action to protect the client's confidentiality and should be the nurse's first priority in this situation.
- Rationale for B: While it is important to identify the staff member responsible for leaving sensitive information accessible, it is not the first action that should be taken. The immediate risk to patient confidentiality must be addressed before investigating the cause.
- Rationale for C: Notifying the charge nurse is an appropriate step, but it is not the first action to take. The priority is to stop the unauthorized access before reporting the incident.
- Rationale for D: Informing the visitor about the confidentiality of client records is important, but it should follow the immediate action of securing the information. Once the information is secure, the nurse can then address the visitor's behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. While night sweats and fever may indicate an underlying infection or illness, they do not typically require immediate emergency intervention compared to the other options.
b. Compound fractures of the tibia and humerus are serious injuries that require prompt medical attention, but they are not immediately life-threatening compared to the other options.
c. Severe vomiting and diarrhea can lead to dehydration and electrolyte imbalances, which require medical treatment, but they are not as urgent as the potential respiratory compromise or airway injury in the client with soot markings from a house fire.
d. Soot markings around each naris following a house fire suggest inhalation injury and potential airway compromise, making this client the priority for immediate assessment and intervention in the emergency department.
Correct Answer is C
Explanation
a. Referring the parent to a pharmacist may not address the financial concerns associated with affording the nebulizer.
b. Referring the parent to child protective services is not appropriate in this situation, as it does not address the financial issue.
c. Referring the parent to a social worker can help connect them with resources and assistance programs that can help cover the cost of the nebulizer or provide alternative solutions for obtaining the necessary equipment.
d. While a respiratory therapist may provide valuable information and support, they may not have the resources to address the financial aspect of obtaining the nebulizer.
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