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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.
Correct Answer is ["D","E"]
Explanation
Rationale:
A. These neurological findings are within normal limits and do not require immediate follow-up.
B. These musculoskeletal findings are not indicative of an emergency and can be addressed during routine care.
C. Clear lung sounds are a normal finding and do not require immediate follow-up.
D. An irregular heart rate may indicate an arrhythmia or other cardiovascular issue that requires further assessment and intervention.
E. Hyperactive bowel sounds can indicate a variety of gastrointestinal issues, including bowel obstruction or ileus, which may require immediate intervention or further investigation.
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