A nurse is preparing to administer medication to a newborn. Which of the following information should the nurse use to identify the newborn?
Name and medical record number
Birth date and mother's name
Age and diagnosis
Footprints and identification number
The Correct Answer is A
A. Name and medical record number: This information is unique to each individual and is used to accurately identify patients in healthcare settings, including newborns.
B. Birth date and mother's name: While important for identification, this information alone may not be sufficient to accurately identify a newborn, especially in situations where there may be multiple newborns with similar birth dates or mothers with the same name.
C. Age and diagnosis: Age and diagnosis are important clinical information but are not typically used as primary identifiers for medication administration.
D. Footprints and identification number: While footprints and identification numbers may be used as supplemental identifiers, they are not as reliable or commonly used as name and medical record number for medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client's foot feels cooler than in the previous assessment: While decreased temperature can indicate decreased perfusion, the absence of a palpable pedal pulse is a more concerning finding.
B. The client's pedal pulse in the right foot is not palpable: This finding suggests compromised blood flow distal to the site of the bypass graft, which could indicate graft occlusion or impaired circulation.
C. The client's capillary refill time is 5 seconds in the toes: While prolonged capillary refill time can indicate impaired circulation, the absence of a palpable pedal pulse is a more concerning finding.
D. The client reports a pain level of 8 on a scale from 3 to 10: Pain is subjective and can be managed with analgesics, but the absence of a palpable pedal pulse indicates a more serious issue related to perfusion.
Correct Answer is D
Explanation
Rationale for A: While contacting a shelter in another county might be a good long-term option, the client should prioritize preparing for an immediate, safe escape rather than focusing on geographic distance.
Rationale for B: Telling the client to leave immediately may not be feasible or safe. The client needs to be prepared with a well-thought-out plan, including knowing when and how to leave, based on the safest opportunity.
Rationale for C: Keeping a packed bag by the front door may alert the abuser and increase the risk of violence. Instead, the bag should be kept in a secure and hidden location to avoid raising suspicion.
Rationale for D: Rehearsing an escape route is a critical component of a safety plan. It ensures the client knows how to leave quickly and safely in case of an emergency, which is vital for their safety.
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