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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
Wheat bread contains some potassium, but not as much as fruits and vegetables.
Choice B rationale:
Cheddar cheese is not a good source of potassium.
Choice C rationale:
Bananas are known to be a great source of potassium.
Choice D rationale:
Cantaloupes contain potassium, but not as much as bananas.
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