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 B

Explanation

A. While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B. The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C. Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D. Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.

A. Leave a transfer belt in place until the client returns from radiology. B. Lower the footplates before transferring the client from the bed. C. Back the wheelchair into the elevator. D. Position the client so their weight is shifted forward

Correct Answer is B

Explanation

A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.

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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 nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to transfer a client to the radiology department using a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is planning to use nonpharmacological pain relief methods for a client who reports continued mild back pain after receiving analgesia 1 hr ago. Which of the following actions should the nurse include in the plan?

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