A nurse is documenting data in a client's electronic health record at a computer terminal in the nurses' station when he has to leave the area to answer a client's call light. Which of the following actions should the nurse take?

Log off the computer before he leaves the nurses' station.

Turn off the monitor so others cannot view the client's data.

Position the computer's screen so no one else can view it.

Ask another nurse to complete the documentation.

Answer and Explanation

The Correct Answer is A

A. Log off the computer before he leaves the nurses' station: This is correct. Logging off ensures that no unauthorized person can access the client's electronic health records, maintaining privacy and security.
B. Turn off the monitor so others cannot view the client's data. This action alone does not provide sufficient security, as the computer might still be logged in.
C. Position the computer's screen so no one else can view it. While this helps with privacy, it does not secure the computer from unauthorized access in the nurse’s absence.
D. Ask another nurse to complete the documentation. This is not appropriate as it may lead to incomplete or inaccurate documentation. Each nurse should document their own care.

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Correct Answer is D

Explanation

A. Install a bed exit sensor pad at the foot of the client's bed. While a bed exit sensor pad can be useful, it is typically placed on the mattress near the client's hips or lower back, not at the foot of the bed. This placement ensures it detects movement when the client tries to get up, thereby alerting staff to provide assistance.
B. Encourage the client to ambulate in compression stockings. Compression stockings can help with circulation but do not directly address fall prevention. Additionally, they can be slippery on some surfaces, potentially increasing the risk of falls if proper footwear is not used.
C. Raise all four side rails for the client at bedtime. Raising all four side rails is considered a form of restraint and can increase the risk of injury if the client attempts to climb over them. It can also limit the client’s ability to get out of bed independently and safely.
D. Place a raised toilet seat in the client's bathroom. This intervention is appropriate for fall prevention. A raised toilet seat can help clients with mobility issues by making it easier to sit down and stand up, thereby reducing the risk of falls in the bathroom, which is a common site for falls.

A. Verapamil B. Lithium C. Sumatriptan D. Prednisone.

Correct Answer is C

Explanation

A. Verapamil Verapamil is used as a preventive treatment for cluster headaches, not for aborting an acute attack.
B. Lithium Lithium is used for cluster headache prevention, not for immediate pain relief.
C. Sumatriptan Sumatriptan is effective in aborting acute cluster headache attacks.
D. Prednisone Prednisone can be used as a short-term preventive measure but is not typically used to abort an acute headache.

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A nurse is documenting data in a client's electronic health record at a computer terminal in the nurses' station when he has to leave the area to answer a client's call light. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is C

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