NCLEX-PN® ExaminationCoordinated CareEasy
An LPN is preparing to administer medications to a client. The LPN notes that the client's medical record is open on an unattended computer in the hallway. Which of the following actions should the LPN take immediately?
- APlace a 'Do Not Touch' sign on the computer screen.
- BInform the charge nurse about the unattended computer.
- CLog out of the computer and close the client's chart.
- DContinue with medication administration, then address the computer.
Show answer & explanationAnswer & explanation
Correct answer: C. Log out of the computer and close the client's chart.
Protecting client confidentiality and information security is a fundamental responsibility. Logging out immediately prevents unauthorized access to protected health information (PHI) and is the most direct action to mitigate the breach.
Why the other options are wrong
- A. A 'Do Not Touch' sign does not prevent unauthorized access and is an insufficient measure for information security.
- B. While informing the charge nurse is important for follow-up and education, the immediate action to prevent a breach is to secure the computer.
- D. Delaying action on a potential breach of confidentiality is inappropriate and increases the risk of unauthorized access to PHI.
Information Security (HIPAA)
The protection of electronic protected health information (ePHI) from unauthorized access, use, disclosure, disruption, modification, or destruction, as mandated by HIPAA.
- Protect client privacy.
- Prevent data breaches.
- Strict rules for electronic health records (EHRs).
Memory trick: When 'DATA' is exposed, 'DISABLE' unauthorized access.