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Author Question: While seeing a client in the home, the nurse explains the benefits and concerns regarding the use of ... (Read 29 times)

Bernana

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While seeing a client in the home, the nurse explains the benefits and concerns regarding the use of computer-based medical records.
 
  The client asks the nurse what prevents a neighbor from accessing the information in the agency computer system when the nurse visits the neighbor. The best response by the nurse is: 1. I keep the notebook computer in my hands at all times..
   2. A neighbor would not have the password..
   3. I use a new computer for each client..
   4. I send your information and then delete it..

Question 2

A client who is in the first trimester of pregnancy tells the nurse that she is constantly nauseated and can vomit at any time. To assist this client, the nurse should instruct her to:
 
  1. Take a multivitamin with iron each day.
   2. Take a multivitamin without iron each day.
   3. Drink a glass of water every time nausea occurs.
   4. Take Benadryl over-the-counter for the nausea.



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cloudre37

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Answer to Question 1

2 A neighbor would not have the password..
Rationale:
All files require that the user have a password so that access is only gained by authorized personnel. The nurse would have to put the computer down to assess a client, so this would not be a true statement. It would not be cost effective to have a computer for each client. The nurse would not delete the information without verifying that the information reached the home computer.

Answer to Question 2

2. Take a multivitamin without iron each day.

Rationale:
Multivitamins without iron will reduce the nausea associated with the first trimester of pregnancy. The nurse should not suggest taking the vitamin with iron, which can contribute to nausea. The nurse should not instruct the client to drink a glass of water every time nausea occurs because this could lead to the ingestion of high quantities of water. The nurse should also not instruct the client to ingest an over-the-counter medication without discussing with her physician.





 

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