A nurse is assessing a patient with congestive heart failure that has shortness of breath.

Patients with heart disease can have fluid accumulate in the lungs.

This is called.

Choice A rationale:
Captopril is an ACE inhibitor, not a beta blocker. It’s used to treat hypertension, but it’s not a beta blocker.
Choice B rationale:
Warfarin is an anticoagulant, not a beta blocker. It’s used to prevent blood clots, not to treat hypertension.
Choice C rationale:
Atenolol is a beta blocker. It’s often prescribed for hypertension because it can reduce the workload on the heart and help it beat more regularly.
Choice D rationale:
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID), not a beta blocker. It’s often used to reduce pain or inflammation, and can help prevent heart attacks in some people, but it’s not used to treat hypertension.

The correct answers are B, D, and E.

Choice A Reason: The provider’s name is not an acceptable client identifier for medication administration. The provider’s name is associated with the person who prescribes or orders the medication, not the client who is to receive it. It does not reliably identify the individual for whom the service or treatment is intended.

Choice B Reason: The client’s full name is a primary and acceptable identifier. It is unique to the individual and is used to match the service or treatment to that individual. It is one of the most common identifiers used in healthcare settings to ensure that the correct patient receives the correct medication.

Choice C Reason: The facility room number is not an acceptable identifier. Room numbers can change if patients are moved, and they are not unique to an individual. Therefore, they do not reliably identify the person for whom the service or treatment is intended.

Choice D Reason: An identification number the facility assigns, such as a medical record number, is an acceptable identifier. It is unique to the client and is used across healthcare settings to track patient information, including medication administration.

Choice E Reason: The client’s telephone number can be considered an acceptable identifier, especially in settings where other identifiers might not be available. It is unique to an individual and can be used to verify the client’s identity.