A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply)

Choice A reason: This statement is true and relevant. The nurse can share the client's current medical information with other providers who are involved in the client's care, such as physicians, nurses, therapists, or pharmacists. This is necessary for the coordination and continuity of care.

Choice B reason: This statement is false and misleading. The billing department at the agency will not have access to the client's medical record, but only to the minimum necessary information for billing purposes, such as the client's name, date of service, and diagnosis code.

Choice C reason: This statement is false and misleading. Assistive personnel will not be able to access the client's prior admission information, unless they are directly involved in the client's care and have a legitimate need to know. The client's prior admission information is protected by HIPAA and can only be disclosed with the client's authorization or for specific purposes.

Choice D reason: This statement is partially true, but not the best answer. The health care provider will assist the client in making decisions about who to disclose their health information to, but the client has the ultimate right to decide. The client can also revoke or modify their authorization at any time.

Choice A reason: Elevating the head of the bed can help ease breathing and promote comfort for a client who is near death. This position can reduce the work of breathing and help prevent aspiration, which is crucial for clients with diminished consciousness or swallowing reflexes.

Choice B reason: Offering ice chips may provide some moisture and comfort to the client, but it is not the primary action to promote comfort for a client who is near death. Ice chips should be used cautiously, especially if the client has difficulty swallowing or is unconscious.

Choice C reason: Turning the client every 4 hours is important to prevent pressure ulcers and promote circulation. However, for a client who is near death, repositioning should be done with consideration for the client's comfort and any pain they may be experiencing.

Choice D reason: Providing oral care every 6 hours can help maintain oral hygiene and comfort, especially if the client is unable to perform this task themselves. It can also help prevent infections and manage any discomfort from dryness or buildup in the mouth.