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Before administering client medications, the nurse must identify the client.
Which of the following methods of identification should the nurse use?

Ask the client's full name and date of birth.

Verify the client's room number.

Ask a family member to verify the client's identity.

Check the client's name on the medication administration record (MAR)

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Asking the client’s full name and date of birth is the most reliable method of identification.

Choice B rationale:

Verifying the client’s room number is not reliable because room assignments can change.

Choice C rationale:

Asking a family member to verify the client’s identity is not always possible or reliable.

Choice D rationale:

Checking the client’s name on the medication administration record (MAR) is important but should be done in conjunction with direct client identification.

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Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

A. Discard any partial doses she finds in the cabinet in the sharps container. B. Verify that the amounts of each medication she counts match the amounts on the inventory record. C. Set aside any controlled substances the nurse plans to give during her shift. D. Co-sign any notations of wasting controlled substances on the previous shift.

Correct Answer is B

Explanation

Choice A rationale:

Discarding any partial doses found in the cabinet in the sharps container is not the correct procedure. Partial doses should be wasted in the presence of another nurse.

Choice B rationale:

Verifying that the amounts of each medication counted match the amounts on the inventory record is the correct procedure. This ensures accurate accounting of controlled substances.

Choice C rationale:

Setting aside any controlled substances the nurse plans to give during her shift is not the correct procedure. Medications should be removed from the secure cabinet as needed.

Choice D rationale:

Co-signing any notations of wasting controlled substances on the previous shift is not the correct procedure. Wasting should be witnessed and co-signed at the time it occurs.

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Before administering client medications, the nurse must identify the client.Which of the following methods of identification should the nurse use?

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Before administering client medications, the nurse must identify the client.
Which of the following methods of identification should the nurse use?