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A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

Photograph

Medical diagnosis

Room number

Age

Answer and Explanation

The Correct Answer is A

Rationale:

A. A photograph is a unique identifier that helps ensure the correct client receives the correct medications.

B. A medical diagnosis is not a unique identifier and may not be accurate if the client has multiple diagnoses.

C. A room number is not a unique identifier and may not be accurate if the client has been moved to a different room.

D. Age is not a unique identifier and may not be accurate if the client has multiple ages.

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Correct Answer is B

Explanation

A. Cleaning around the stoma with a moisturizing soap is not recommended. Moisturizing soaps can leave a residue that may interfere with the adhesion of the skin barrier. The client should use warm water or a mild, non-moisturizing soap to clean the area.

B. Pressing on the skin barrier for 30 seconds to ensure that it adheres is correct. This technique helps secure the barrier to the skin, creating a good seal and reducing the risk of leaks.

C. Cutting an opening in the skin barrier that is 1/2 inch larger than the stoma is incorrect. The opening should be about 1/8 inch larger than the stoma to ensure a snug fit, which helps protect the surrounding skin from exposure to effluent.

D. Applying a thin layer of talc powder around the stoma before placing the appliance is not appropriate. Powders are typically used to manage irritated skin but should be avoided unless specifically recommended by a healthcare provider. Overuse can interfere with the appliance’s adhesion.

A. “I drink an average of 2,000 milliliters of water daily." B. “I take a prescribed opioid pain medication at bedtime." C. "I love to eat apples and black-eyed peas." D. "I drink two hot cups of coffee each morning."

Correct Answer is B

Explanation

Rationale:

A. Drinking an average of 2,000 milliliters of water daily is a healthy habit that promotes bowel elimination.

B. Taking a prescribed opioid pain medication at bedtime can cause constipation and impaired bowel elimination.

C. Eating apples and black-eyed peas is a healthy dietary choice that promotes bowel elimination.

D. Drinking two hot cups of coffee each morning can promote bowel elimination for some individuals.

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A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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