A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Telephone number

Diagnosis

Provider's name

Room number

Answer and Explanation

The Correct Answer is A

Rationale

A. Telephone number: Using the client’s unique identifiers, such as name and date of birth, is standard practice, but if multiple identifiers are required, asking the client to confirm information like a telephone number helps ensure correct identification. Proper identification prevents errors in assessment, medication administration, and procedures.

B. Diagnosis: A client’s diagnosis does not uniquely identify them because multiple clients may share the same condition. Relying on diagnosis alone could lead to misidentification and errors in care.

C. Provider's name: The healthcare provider’s name is not a reliable client identifier. Multiple clients may be under the care of the same provider, so using this information cannot ensure the correct patient is being assessed.

D. Room number: Room numbers are temporary and can change; several clients may share a room at different times. Using room number alone is insufficient to confirm identity and does not meet safety standards for patient identification.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

Rationale

A. Instruct the client to use the incentive spirometer five times per hour: Frequent use of the incentive spirometer promotes lung expansion, prevents atelectasis, and improves oxygenation postoperatively, especially when lung sounds are diminished.

B. Administer ondansetron: Ondansetron addresses nausea but does not directly improve respiratory status. While important for comfort, it is not a primary intervention for pulmonary function.

C. Encourage the client to splint the abdomen: Splinting the incision during coughing or deep breathing reduces pain, allowing the client to perform respiratory exercises effectively and decrease the risk of atelectasis or hypoventilation.

D. Encourage the client to cough and breathe deeply: Deep breathing and coughing mobilize secretions, enhance alveolar ventilation, and prevent postoperative pulmonary complications, which is critical given the client’s diminished lung sounds and shallow respirations.

E. Administer supplemental oxygen: Supplemental oxygen can help improve oxygen saturation in clients with hypoxemia, as indicated by the drop to 92% on room air.

F. Ambulate the client 30 min after administering analgesia: Early ambulation enhances lung expansion, promotes circulation, and helps prevent pulmonary complications. Providing analgesia beforehand minimizes pain and encourages participation.

G. Administer acetaminophen: Acetaminophen may reduce fever and mild pain but does not directly improve respiratory status or lung expansion, so it is not a primary intervention in this scenario.

A. "You should follow a low cholesterol diet." B. "You should follow a diet high in vegetables, fiber, and uncooked fruit." C. "You should follow a low sodium diet." D. "You should follow a balanced intake of carbohydrates, fats, and proteins."

Correct Answer is D

Explanation

Rationale

A. "You should follow a low cholesterol diet.": While limiting cholesterol is important for cardiovascular health, it is not the most essential dietary focus for managing blood glucose levels in type 2 diabetes. This recommendation addresses long-term heart health rather than immediate glycemic control.

B. "You should follow a diet high in vegetables, fiber, and uncooked fruit.": Increasing fiber and vegetable intake is beneficial for overall health and glycemic control, but it is part of the broader strategy. It does not provide the complete framework for managing macronutrient balance in diabetes.

C. "You should follow a low sodium diet.": A low-sodium diet helps reduce hypertension risk, which is important in clients with diabetes, but it is not the primary teaching priority for blood glucose management. Sodium restriction addresses cardiovascular risk rather than immediate diabetic control.

D. "You should follow a balanced intake of carbohydrates, fats, and proteins.": Teaching clients to maintain a balanced diet with controlled carbohydrate intake is the priority because it directly affects blood glucose regulation. Understanding macronutrient distribution helps prevent hyperglycemia and supports long-term diabetes management.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.

Correct Answer is ["A","C","D","E","F"]

Explanation

A nurse is providing teaching for a client who has a recent diagnosis of type 2 diabetes mellitus. Which of the following information should the nurse prioritize in the teaching for a diabetic diet?

Correct Answer is D

Explanation

A nurse is planning care for a client who reports insomnia. Which of the following actions should the nurse perform shortly before bedtime?

A nurse is assessing a client who is experiencing fluid volume excess. Which of the following findings should the nurse expect?

A nurse is planning care for a client who has a newly placed percutaneous endoscopic gastrostomy (PEG) tube and is agitated and confused. The provider prescribes bilateral wrist restraints. Which of the following actions should the nurse plan to take?

A nurse is transcribing the following provider prescriptions into a client's chart. Which of the following prescriptions should the nurse clarify?

A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?

A nurse is using the domains of learning to provide teaching to a client who has diabetes mellitus. Which of the following actions should the nurse take to utilize psychomotor learning?

A nurse is preparing to administer an intradermal tuberculin test to a client. Which of the following actions should the nurse take?

A nurse is planning care for a toddler who has measles. Which of the following isolation precautions should the nurse initiate?