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A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

Date of birth

Diagnosis

Identification number

Name

Room Number

Answer and Explanation

Correct Answer : A,C,D

A. Date of birth is a commonly used identifier to confirm the client's identity.

B. Diagnosis is not an appropriate identifiers for confirming a client's identity.

C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.

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Correct Answer is B

Explanation

A. The frequency of previous vital sign measurements may be important but is not the most critical information to communicate during a transfer.
B. The effectiveness of the last dose of pain medication is crucial information for the receiving facility to manage the client's pain appropriately.
C. The number of family members who have visited is important for emotional support but may not be the priority for the receiving facility.
D. The time of the client's last bath is relevant but may not be as critical as information related to pain management during the hand-off report.

A. Apply a moisture barrier in a thick layer to the vulnerable skin areas. B. Cleanse the skin with antibacterial soap and hot water after each incontinence episode. C. Toilet the client every 4 hr while the client is awake. D. Reduce the client's daily fluid intake.

Correct Answer is A

Explanation

A. Applying a moisture barrier helps protect the skin from irritation and breakdown due to prolonged exposure to moisture.
B. Cleansing the skin with antibacterial soap and hot water may be too harsh and can contribute to skin irritation; gentle cleaning with a mild cleanser is preferable.
C. Toileting the client every 4 hours may not be frequent enough to prevent skin breakdown; a more frequent toileting schedule should be implemented.
D. Reducing the client's daily fluid intake is not a recommended intervention for urinary incontinence, as it may lead to dehydration and other health issues.

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A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)

Nursing Test Bank

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