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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:

Low blood pressure (BP) is a symptom of hypovolemic shock due to decreased blood volume, but the pulse rate typically increases as the body tries to compensate for the low BP, not decrease.

Choice B rationale:

Hypovolemic shock is characterized by low BP due to loss of blood or fluid volume and a high pulse rate as the body tries to compensate for the decreased blood flow.

Choice C rationale:

High BP is not typically associated with hypovolemic shock. Instead, BP is usually low due to decreased blood volume.

Choice D rationale:

High BP is not typically a symptom of hypovolemic shock. While the pulse rate may be high as the body tries to compensate for low blood volume, the BP is usually low.

A. Drop prescribed amount of medication into the conjunctival sac. B. Place the eyedropper gently against the sclera. C. Don sterile gloves to instill the medication. D. Gently rub the eye after instilling the medication.

Correct Answer is A

Explanation

Choice A rationale:

The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.

Choice B rationale:

The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.

Choice C rationale:

It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.

Choice D rationale:

Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.

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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?