A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Room number

Telephone number

Patient’s name

Diagnosis

Answer and Explanation

The Correct Answer is C

A.   Using the room number to identify a patient is not reliable since many clients may share it.
B.   The telephone number is not typically used for client identification during assessments.
C.   The nurse should use the client's name to properly identify the client before performing any assessment or intervention. This is a standard safety measure that helps to prevent errors and ensure quality care.
D.   The diagnosis is important for providing appropriate care but is not used for client identification during assessments.

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Correct Answer is D

Explanation

A. Securing electrical wires reduces tripping hazards and promotes safety.

B. Rubber-sole shoes provide better traction and reduce the risk of slips and falls.

C. Reduced visual acuity increases the risk of falls but not as much as taking antihypertensives do.

D. Taking an antihypertensive medication can be a potential fall risk, because it can cause hypotension and dizziness.

A. Obtain a prescription for restraints from the provider. B. Document the indications for using wrist restraints. C. Explain the procedure to the client and their family. D. Attempt less restrictive alternatives.

Correct Answer is D

Explanation

A. While a prescription may be necessary, attempting less restrictive alternatives should be the first action.
B. Documentation is important but should not precede attempting less restrictive alternatives.
C. Education about the use of restraints is important but should follow attempts at less restrictive alternatives.
D. The nurse should exhaust all possible alternatives to restraints before considering their use, in line with the principle of least restrictive intervention.

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A nurse enters a client's room to perform a focused assessment. Which of the following client information should the nurse use to properly identify the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?

Correct Answer is D

Explanation

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

Correct Answer is D

Explanation

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