A nurse case manager must be vigilant in protecting the client's ...

[rosent76]

A nurse case manager must be vigilant in protecting the client's health information. Because the nursing office is in a cluster of offices that share a fax machine, which action by the nurse ensures that HIPAA requirements are met?
 
  1. Have the client sign a consent form for information to be released.
   2. Have sending agencies call ahead before any information is sent.
   3. Do not utilize the fax machine; depend on the mail system.
   4. Take relevant information over the phone.

Question 2

During the fourth stage of labor, a client's blood pressure is 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus. The priority action of the nurse should be to:
 
  1. Turn the client onto her left side.
   2. Place the bed in Trendelenburg position.
   3. Massage the fundus.
   4. Continue to monitor.

[juiceman1987]

Answer to Question 1

2. Have sending agencies call ahead before any information is sent.

Rationale:
Case manager nurses need to maintain vigilance to protect the privacy of client health care information when sending and receiving messages. In this case, having the sending agency call prior to faxing information would alert the nurse to collect the information from the fax machine at the time it is received, securing that information so others would not have access to it. Signing a consent form for information to be released is necessary to share information, but this would ensure only the disclosure aspect of HIPAAnot the privacy aspect. Sending information through the mail takes time and does not ensure the privacy of the information. Taking information over the phone must be done in a way that is protected and secured in order to ensure that HIPAA privacy aspects have not been breached.

Answer to Question 2

4. Continue to monitor.

Rationale:
The client's assessment data are normal for the fourth stage of labor, so monitoring is the only action necessary. During the fourth stage of labor, the mother experiences a slight drop in blood pressure and a slightly increased pulse. A left lateral position is not necessary with a BP of 110/60 and a pulse of 90. Trendelenburg position is not necessary with a BP of 110/60 and a pulse of 90. The uterus should be midline and firm; massage is not necessary.

[rosent76]

Gracias!

[Joy Chen]

Excellent