Which identifier should the nurse use during the initial time-out to determine the right patient?
Employer
Medical record number
Maiden name
Date of birth
The Correct Answer is D
A. Employer. An employer is not a unique patient identifier.
B. Medical record number. A medical record number is a unique identifier and is a recommended method for verifying the right patient.
C. Maiden name. A maiden name is not a reliable identifier, as patients may change names over time.
D. Date of birth: The date of birth is a critical and commonly used patient identifier, often paired with another piece of information (such as name or medical record number). It is specific and unique to the patient, making it ideal for ensuring the right individual receives care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nothing solid by mouth for 8 to 10 hours before surgery: While some surgeries may require longer fasting, the general guideline is at least 6-8 hours for solids.
B. Nothing solid by mouth for 10 to 12 hours before surgery: This is longer than necessary based on standard preoperative fasting guidelines.
C. Nothing solid by mouth for 12 to 14 hours before surgery: This is excessive and may lead to unnecessary discomfort.
D. Nothing solid by mouth for 6 to 8 hours before surgery: General guidelines recommend NPO for at least 6-8 hours before surgery to reduce the risk of aspiration during anesthesia. Clear liquids may be allowed up to 2 hours before surgery.
Correct Answer is D
Explanation
A. Skin breakdown: This is a medical problem or symptom, but it is not a structured nursing diagnosis.
B. Elevated blood pressure: This is a clinical finding rather than a nursing diagnosis.
C. Anxiety: While anxiety is a medical condition, a complete nursing diagnosis should describe the specific effects on the patient, such as "Anxiety related to hospitalization as evidenced by restlessness and increased heart rate."
D. Ineffective breathing pattern: This is a standardized nursing diagnosis as defined by NANDA (North American Nursing Diagnosis Association). It refers to altered respiratory function that nurses can assess and manage.
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