The nurse is entering information in the computer about a ...

[fox]

The nurse is entering information in the computer about a treatment that was completed on a client. The nurse notes that the housekeeping staff is cleaning in the nurse's station. In order to enforce HIPAA regulations, the nurse would:
 
  1. Report the housekeeper with a HIPAA violation.
   2. Ask the housekeeper not to read the chart.
   3. Move to a computer in a different area.
   4. Stop charting in the computer.

Question 2

A client who recently learned that she is pregnant tells the nurse that she stopped eating meat years ago and started eating fish daily because it is healthier. Which of the following should the nurse respond to this client?
 
  1. Eat plenty of fish such as swordfish and shark while pregnant.
   2. Avoid albacore tuna because it has more mercury than other canned tuna.
   3. Follow a complete vegetarian diet while pregnant as an alternative to eating fish.
   4. Avoid shrimp, salmon, and catfish since these have higher mercury levels.

[b614102004]

Answer to Question 1

3. Move to a computer in a different area.

Rationale:
The best action by the nurse would be to move to an area that was more secure until housekeeper has completed the cleaning. The nurse would not report the housekeeper unless there was evidence that the person breached the client's confidentiality. It is not necessary to ask the housekeeper not to read the chart as they are bound by the same rules as the rest of the staff. However, they could inadvertently see the chart, so the nurse should move. Since many other professions and health care personnel may need the information, it would not be a good idea or cost efficient to stop entering the client's data.

Answer to Question 2

2. Avoid albacore tuna because it has more mercury than other canned tuna.

Rationale:
Nearly all fish contain traces of mercury. Mercury can place the developing nervous system of the fetus at risk and cause negative effects on cognitive functioning. The nurse should advise the client to avoid albacore tuna since it has more mercury than other canned tuna. Swordfish and shark should be avoided because they contain high levels of mercury. The nurse should not suggest that the client consume a complete vegetarian diet since this could lead to other nutritional deficiencies. The nurse should encourage the client to consume shrimp, salmon, and catfish, up to 12 ounces per week, since these fish have the least amount of mercury.

[fox]

TYSM

[nanny]

Excellent