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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. Instructing the client's family to contact the insurance provider may be appropriate but does not directly address the issue of the delayed oxygen tank delivery.
b. Sending an oxygen tank from the facility home with the client may not be feasible or within the nurse's authority without proper arrangements and documentation.
c. Contacting social services may not be necessary for the delivery of oxygen equipment, as this is typically arranged through the equipment company or the healthcare provider.
d. Notifying the provider about the delayed oxygen tank delivery allows them to follow up with the equipment company or make alternative arrangements to ensure the client receives the necessary equipment in a timely manner.
Correct Answer is A
Explanation
a. Reporting the infection to the local health department is necessary as chlamydia is a reportable sexually transmitted infection (STI), and this action is in compliance with public health regulations.
b. Contact precautions are not required for chlamydia as it is not spread through casual contact but through sexual contact.
c. Instructing the client to use condoms is important, but it is not the immediate action required by the nurse. The client should be instructed to abstain from sexual activity until the treatment is complete.
d. Chlamydia is a bacterial infection, not a viral one, so antiviral creams would not be effective.
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