A nurse is preparing to administer an antibiotic to a client who has pneumonia. After confirming that the client's assigned identification number matches the medication administration record, the nurse should use which of the following as a second identifier?
Home telephone number
Medical diagnosis
Date of admission
Facility room number
The Correct Answer is A
Rationale:
A. Home telephone number: A home telephone number is an acceptable second client identifier under The Joint Commission's guidelines, as it is specific to the individual and can help prevent medication errors when used alongside another unique identifier.
B. Medical diagnosis: A medical diagnosis is not a unique identifier and may be shared by multiple clients in the same facility. It does not provide adequate confirmation of a client's individual identity.
C. Date of admission: Admission dates are not unique and may be the same for several clients. This information is insufficient as a reliable identifier for ensuring safe medication administration.
D. Facility room number: Room numbers can change during hospitalization and are not considered safe identifiers. Clients may be transferred, making room number an unreliable and non-permanent method of identification.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. “I will wait 15 minutes before taking a second tablet.": Waiting 15 minutes delays relief and increases the risk of complications. The client should take a second tablet if chest pain is unrelieved after 5 minutes, up to three doses within 15 minutes, then seek emergency help if symptoms persist.
B. "I should stop taking the medication if I get a headache.": Stopping the medication due to a headache overlooks the therapeutic benefit. Headaches are a common side effect caused by vasodilation and can be managed with mild analgesics while continuing the medication as prescribed.
C. "I should expect pain relief in 1 to 3 minutes.": Sublingual nitroglycerin is rapidly absorbed through the oral mucosa, leading to relief typically within 1 to 3 minutes. This fast onset is essential for treating acute angina episodes effectively.
D. "I will swallow the tablet for faster absorption.": Swallowing the tablet bypasses the sublingual route, delaying its effect due to first-pass metabolism in the liver. The tablet must be placed under the tongue to ensure rapid absorption and therapeutic effectiveness.
Correct Answer is B
Explanation
Rationale:
A. The client's next dressing change is scheduled in 4 hr.: This is routine scheduling information that does not require input from the entire interprofessional team. It is more relevant for shift handoff or task tracking than for collaborative care planning.
B. The client has developed difficulty ambulating: New or worsening mobility issues can impact the client’s safety, rehabilitation needs, discharge planning, and therapy referrals. This information is essential for all members of the interprofessional team, including physical therapists and case managers.
C. The client's vital signs are checked every 8 hr.: This detail reflects standard monitoring protocol and does not provide meaningful insight into the client’s current health status or changes that would impact team planning or intervention.
D. The client has state-sponsored health insurance: While insurance type may influence discharge or equipment planning, it is handled by social services or case management. It is not the most relevant information to bring forward in a clinical team meeting.
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