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 C

Explanation

A. Increase dietary intake of fats. While fats can help lubricate the intestines, increasing fat intake is not a primary recommendation for managing constipation. Focusing on fiber and fluid intake is more effective.
B. Reduce intake of fluids. Reducing fluid intake can worsen constipation. Adequate hydration is essential to soften stool and promote regular bowel movements.
C. Increase fiber gradually each day. Increasing fiber intake gradually helps prevent constipation. Fiber adds bulk to the stool and helps it move more easily through the digestive tract. A gradual increase prevents gas and bloating that can occur with a sudden high intake of fiber.
D. Reduce dietary intake of probiotics. Probiotics can actually aid in maintaining a healthy digestive system and can help with bowel regularity. Reducing them is not recommended for managing constipation.

A. Keep the client's bed in its highest position with the side rails up. B. Provide adult diapers for the client to wear while in bed. C. Store the client's personal possessions in the closet in her room. D. Ask the client to give a return demonstration of how to use the call light.

Correct Answer is D

Explanation

A. Keep the client's bed in its highest position with the side rails up. Keeping the bed in its highest position increases the risk of falls, especially for a client with urinary incontinence who may attempt to get up quickly. This does not adhere to safety guidelines.
B. Provide adult diapers for the client to wear while in bed. While providing diapers may be necessary, it is not the primary safety intervention. It is more important to address the client's mobility and ensure they can safely access the bathroom.
C. Store the client's personal possessions in the closet in her room. Keeping the room tidy and ensuring personal items are stored safely can reduce clutter and fall risks but does not directly address incontinence management or safety goals.
D. Ask the client to give a return demonstration of how to use the call light. Ensuring the client knows how to use the call light is crucial for safety. It allows them to call for assistance when needed, reducing the risk of falls when they need to use the bathroom.

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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

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