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?
Telephone number
Diagnosis
Provider's name
Room number
The Correct Answer is A
Rationale
A. Telephone number: Using the client’s unique identifiers, such as name and date of birth, is standard practice, but if multiple identifiers are required, asking the client to confirm information like a telephone number helps ensure correct identification. Proper identification prevents errors in assessment, medication administration, and procedures.
B. Diagnosis: A client’s diagnosis does not uniquely identify them because multiple clients may share the same condition. Relying on diagnosis alone could lead to misidentification and errors in care.
C. Provider's name: The healthcare provider’s name is not a reliable client identifier. Multiple clients may be under the care of the same provider, so using this information cannot ensure the correct patient is being assessed.
D. Room number: Room numbers are temporary and can change; several clients may share a room at different times. Using room number alone is insufficient to confirm identity and does not meet safety standards for patient identification.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
A. Contact: Contact precautions are used for infections spread by direct or indirect contact, such as C. difficile or MRSA. Measles is not primarily transmitted via contact, so contact precautions alone are insufficient.
B. Airborne: Measles is highly contagious and transmitted via airborne respiratory droplets that can remain suspended in the air. Airborne precautions, including placing the client in a negative-pressure room and requiring staff to wear N95 respirators, are necessary to prevent transmission.
C. Protective: Protective (or neutropenic) precautions are designed to protect immunocompromised clients from infection. They are not appropriate for preventing the spread of measles from an infected client.
D. Droplet: Droplet precautions are used for infections spread by larger respiratory droplets, such as influenza or pertussis. Measles requires airborne precautions because the virus can travel on smaller particles and remain suspended in the air for extended periods.
Correct Answer is B,A,E,D,C
Explanation
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