A nurse wants to reduce data entry errors on the computer system. ...

[tsand2]

A nurse wants to reduce data entry errors on the computer system. Which behavior should the nurse implement?
 
  a. Use the same password all the time.
  b. Share password with only one other staff member.
  c. Print out and review computer nursing notes at home.
  d. Chart on the computer immediately after care is provided.

Question 2

The nurse is caring for a client who has right-sided paralysis after a CVA (stroke). Which of the following factors would be most likely to result in pressure ulcer formation for this client?
 
  a. Poor nutrition
  b. Immobility
  c. Reduced hydration
  d. Skin secretions

[IRincones]

Answer to Question 1

D
To increase accuracy and decrease unnecessary duplication, many health care agencies keep records or computers near a patient's bedside to facilitate immediate documentation of information as it is collected from a patient. A good system requires frequent and random changes in personal passwords to prevent unauthorized persons from tampering with records. When using a health care agency computer system, it is essential that you do not share your computer password with anyone under any circumstances. You destroy (e.g., shred) anything that is printed when the information is no longer needed. Taking nursing notes home is a violation of the Health Insurance Portability and Accountability Act (HIPAA) and confidentiality.

Answer to Question 2

B
The client who has right-sided paralysis is at increased risk for a pressure ulcer developing be-cause of immobility. When restricted from moving freely, dependent body parts are exposed to pressure, reducing circulation to affected body parts. The inability to turn or change position in-creases the risk for pressure ulcers.
Poor nutrition is a risk factor for developing a pressure ulcer, but is not the primary risk factor for this client.
The client is not identified as having reduced hydration.
Skin secretions increase the risk for developing a pressure ulcer; however, this client's greatest risk factor is having impaired mobility.