A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out?
(Select All that Apply.)
Ask the client to read their identification bracelet.
Ask the client to point to the surgical site.
Use two acceptable client identifiers.
Verify that the surgical site has been marked.
Ask the client to state the surgery being performed.
Correct Answer : C
A. Asking the client to read their identification bracelet can be additional verification steps, but it is not standard practice for all institutions
B. To point to the surgical site can be additional verification steps, but it is not standard practice for all institutions.
C. Using two acceptable client identifiers, such as the client's name and date of birth, to confirm the patient's identity.
D. It is important to verify that the surgical site has been marked, which is a critical step in preventing wrong-site surgery.
E. Asking the client to state the surgery being performed is a good practice as it involves the patient in their care and serves as a final verification of the correct procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["100"]
Explanation
To calculate the rate at which the IV pump should be set to deliver the medication, you would use the formula:
(Total Volume in mL / Time in hours) = mL/hr.
The total volume of the IV bag is 50 mL and the time frame is 0.5 hours (since 30 minutes is half an hour). So, the calculation would be 50 mL / 0.5 hours = 100 mL/hr.
Therefore, the nurse should set the IV pump to deliver 100 mL/hr to administer 500 mg of ampicillin over 30 minutes.
Correct Answer is B
Explanation
According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg).
Therefore, the prescribed dosage of 300 mg per day is below the recommended range.
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