A nurse is accessing a client's medical records. Which of the following actions should the nurse take to ensure client confidentiality?

A. Hypertension: Clozapine is more commonly associated with orthostatic hypotension due to its alpha-adrenergic blocking effects rather than hypertension. Clients may experience dizziness or lightheadedness when standing, especially during initiation or dose titration. Hypertension is not a hallmark adverse effect requiring focused teaching.

B. Agranulocytosis: Clozapine carries a well-known risk of agranulocytosis, a severe reduction in neutrophils that significantly increases susceptibility to infections. Clients require regular monitoring of absolute neutrophil count (ANC) through mandated blood tests. Early recognition of signs such as fever or sore throat is critical, making this the most important adverse effect.

C. Urinary retention: Although clozapine has anticholinergic properties that can contribute to urinary retention, this is not among the most serious or high-priority adverse effects associated with the medication. It may require monitoring but does not carry the same level of risk as hematologic complications.

D. Weight loss: Clozapine is more commonly associated with weight gain and metabolic syndrome, including increased appetite, hyperglycemia, and dyslipidemia. Weight loss is not an expected adverse effect and would not be a primary focus of client education for this medication.

A. Avoid using a password that contains both letters and numbers: Using a password that is simple or lacks complexity decreases security. Strong, complex passwords containing letters, numbers, and symbols are essential to protect electronic medical records and maintain client confidentiality. Avoiding complex passwords is contrary to best practices.

B. Use a trash can at the nurses' station to dispose of client information sheets: Disposing of client information in unsecured trash can lead to unauthorized access and a breach of confidentiality. Proper disposal requires shredding or using designated secure bins to protect sensitive information.

C. Avoid using a cover sheet when faxing information to the client's provider: Faxes containing client information should always include a cover sheet to identify the sender, the intended recipient, and confidentiality notices. Not using a cover sheet increases the risk of disclosure to unauthorized parties.

D. Use privacy filters for computer screens that are visible to others: Privacy screens or filters prevent unauthorized individuals from viewing electronic health information. This is an effective method to maintain confidentiality when computers are in shared or open areas, aligning with HIPAA and facility policies.