A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first?

Choice A reason: The client needs to have someone come in to help her bathe at home is not a data that supports a referral for a social worker, as it is a need for home health care or personal care assistance. The nurse should refer the client to a home health agency or a community resource that provides such services.

Choice B reason: The client needs to arrange financial resources to purchase equipment is a data that supports a referral for a social worker, as it is a need for financial assistance or counseling. The nurse should refer the client to a social worker who can help the client access available resources, such as insurance, grants, or loans, to cover the cost of the equipment.

Choice C reason: The client needs to have someone bring oxygen tanks and equipment to her home is not a data that supports a referral for a social worker, as it is a need for oxygen therapy or equipment delivery. The nurse should refer the client to a respiratory therapist or a durable medical equipment company that can provide the oxygen and the equipment.

Choice D reason: The client needs to have range-of-motion exercises to assist with ambulation is not a data that supports a referral for a social worker, as it is a need for physical therapy or rehabilitation. The nurse should refer the client to a physical therapist or a rehabilitation center that can provide the exercises and the guidance.

Choice A reason: I should discard personal health information documents in the trash before leaving the unit is not a correct statement, as it violates the client's privacy and the Health Insurance Portability and Accountability Act (HIPAA). I should shred or dispose of personal health information documents in a secure container or according to the facility's policy.

Choice B reason: I can post the client's vital signs in the client's room is not a correct statement, as it exposes the client's health information to unauthorized persons. I should keep the client's vital signs confidential and only share them with the client and the health care team.

Choice C reason: I can use another nurse's password as long as I log off after using the computer is not a correct statement, as it compromises the security and integrity of the electronic health record. I should use my own password and never share it with anyone else.

Choice D reason: I should encrypt personal health information when sending emails is a correct statement, as it protects the client's privacy and the HIPAA. I should use encryption or other secure methods when transmitting personal health information electronically.