A nurse is preparing to identify a client prior to medication administration.
Which of the following questions should the nurse ask to determine the client's identity?
"What is your home phone number?”
"Can you tell me your room number?”
"Is your name Sarah Jones?”
"Are you 65 years of age?”
The Correct Answer is C
Choice A rationale:
Asking for a home phone number is not an effective method for identifying a patient. Phone numbers can be easily forgotten or mixed up, especially in a hospital setting where a patient may be under stress or experiencing health issues.
Choice B rationale:
Room numbers can change if the patient is moved, and other patients may have previously occupied the same room. Therefore, room numbers are not reliable identifiers.
Choice C rationale:
Asking the patient to confirm their own name is one of the most direct and reliable ways to verify their identity. This method respects patient autonomy and privacy while ensuring accurate identification.
Choice D rationale:
Age alone is not a reliable identifier because it does not distinguish between different patients of the same age.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
A negative mammogram is not a requirement of the iPLEDGE program. Mammograms are used to screen for breast cancer and are not related to isotretinoin therapy.
Choice B rationale:
Regular Papanicolaou tests, which screen for cervical cancer, are not a requirement of the iPLEDGE program. These tests are not related to isotretinoin therapy.
Choice C rationale:
There is no requirement for clients to begin a daily supplement of vitamin A prior to initiating therapy. In fact, taking additional vitamin A while on isotretinoin can increase the risk of vitamin A toxicity.
Choice D rationale:
Sexually active female clients must use two forms of birth control during treatment. This is because isotretinoin can cause severe birth defects.
Correct Answer is B
Explanation
Choice A rationale:
While a tuberculin syringe can be used for insulin administration, it’s not necessary when mixing NPH and regular insulin. Insulin syringes are typically used for this purpose.
Choice B rationale:
Injecting air into each vial before withdrawing insulin helps equalize pressure and makes it easier to draw up the insulin. This should be done before withdrawing any insulin.
Choice C rationale:
Withdrawing NPH insulin first contradicts the standard practice of drawing up insulins. The usual recommendation is to draw up short-acting (regular) insulin before intermediate-acting (NPH) insulin.
Choice D rationale:
Shaking the regular insulin vial is unnecessary and could potentially create bubbles, making it harder to draw up the correct dose of insulin.
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