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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:

Applying a warm pack can increase swelling and pain, so it is not recommended.

Choice B rationale:

Removing the stinger by scraping it off with a knife blade can help to reduce the amount of venom that is released into the body.

Choice C rationale:

Applying a tourniquet can restrict blood flow and cause more harm than good.

Choice D rationale:

Sucking the wound can introduce bacteria and cause infection, so it is not recommended.

A. Check the client for a positive Chvostek's sign. B. Request a potassium replacement. C. Administer glucagon IM. D. Discontinue the TPN infusion.

Correct Answer is B

Explanation

Choice A rationale:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a group of clients about first aid care for a bee sting.Which of the following information should the nurse reinforce in the teaching?

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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?