Author Question: A nurse is entering information on the client's electronic health record (EHR) and is called to ... (Read 127 times)

justinmsk · **on:** Jun 28, 2018

A nurse is entering information on the client's electronic health record (EHR) and is called to assist in an emergency situation with regard to another client in the labor and birth suite.

The nurse rushes to the scene to assist but leaves the chart open on the computer screen. The emergent client situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager's concerns?

a. The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency.
b. The nurse states that she should have logged out of the EHR prior to attending to the emergency.
c. The nurse indicates that the unit was understaffed.
d. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.

Question 2

Which of the following statements is true regarding late preterm infants?

a. These infants are born before 32 weeks' gestation and thus are at higher risk than LBW infants.
b. These infants do better than LBW infants because their weight provides added protection against physiologic stressors.
c. Care of these infants has led to increased health care costs compared with LBW infants.
d. These infants suffer fewer respiratory problems than LBW infants.

Danny Ewald · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
With the use of electronic health records, it is necessary to take all steps to maintain confidentiality and limit access to non-health care personnel. In an emergent care situation, the nurse should have logged out of the system to maintain confidentiality. Although it is important to make sure that one's client is safe, there is no information here to suggest that there were any safety issues applicable to her assigned client. The staffing of the unit should not affect confidentiality. Changing the password for logging in to a system is an option for clinical practice but does not affect the situation as described.

Answer to Question 2

ANS: C
Late preterm infants are born between 34 and 36 weeks and present with more complications than LBW infants, according to evidence-based practice. The added weight does not provide protection, and these infants are more likely to experience respiratory distress.