A nurse is planning to administer medications to a client. Which of the following information should the nurse use to identify the client? (Select all that apply.)
Telephone number
Diagnosis
Date of birth
Room number
Identification bracelet
Correct Answer : A,C,E
A. Telephone number: A telephone number is a valid and unique personal identifier according to Joint Commission standards.
B. Diagnosis: Multiple clients may have the same diagnosis (e.g., "Pneumonia").
C. Date of birth: This is a standard, universally accepted unique identifier.
D. Room number: Room numbers are not person-specific and can change frequently.
E. Identification bracelet: The ID band contains the client's name and a unique medical record number, making it a primary source for verification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tongue depressor: This is typically used for oral examinations or as a splint for small digits, not for wound assessment.
B. Syringe: While a syringe might be used for wound irrigation, it is not the primary tool for collecting data or measuring the wound's physical characteristics.
C. Cotton-tipped applicator: A stage 4 pressure injury involves full-thickness tissue loss with exposed bone, tendon, or muscle. A cotton-tipped applicator is used to measure the depth of the wound and to check for tunneling or undermining.
D. Adhesive tape: This is used to secure a dressing but does not assist in the data collection/assessment of the wound itself.
Correct Answer is D
Explanation
A. Add liquid to foods to thin consistency.: Thin liquids are actually the most difficult to swallow and increase the risk of aspiration. Foods should be thickened to a "nectar" or "honey" consistency as prescribed.
B. Tilt the client's head slightly backward.: This opens the airway. For safe swallowing, the client should use the "chin-tuck" method (tilting the head forward/down) to help close the trachea and open the esophagus.
C. Encourage socialization with others during meals.: Clients with dysphagia should focus entirely on chewing and swallowing to prevent aspiration; talking while eating increases risk.
D. Provide mouth care before the client eats.: Oral hygiene before meals stimulates the appetite and removes bacteria from the mouth. If a client does aspirate, they are less likely to develop pneumonia if their oral cavity is clean.
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