A nurse is assisting in the take of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?

Choice A Reason:
Comfort level: While the client's comfort is important, ensuring that there is no compromise to their circulation due to the restraints is more critical. Discomfort can be addressed after confirming that the client's circulation is not compromised.
Choice B Reason:
Skin integrity: Skin integrity is vital, especially in clients with restraints, as they are at risk of pressure injuries. However, the immediate concern is to ensure that the restraints are not affecting circulation. If circulation is compromised, addressing that issue becomes more urgent. Skin integrity can be assessed after addressing the circulation concern.
Choice C Reason:
Elimination needs: The client's elimination needs are important, but they are not as time-sensitive as assessing peripheral pulses. Addressing elimination needs can be done after ensuring the client's circulation is intact.
Choice D Reason:
Peripheral pulses. Assessing peripheral pulses is crucial when restraints are applied to ensure that the client's circulation is not compromised. It is essential to check for any signs of impaired blood flow that may result from the use of restraints. If any issues with peripheral pulses are identified, the nurse can take appropriate actions to address them promptly.

Choice A Reason:
Room number: Room numbers can change, and multiple clients may have the same room number. Using the room number alone does not guarantee the identification of the specific client.
Choice B Reason:
Age: Relying on a client's age alone is not sufficient for accurate identification, as multiple clients of the same age may be present in a healthcare setting. Age is not a unique identifier.
Choice C Reason:
Bed number: Bed numbers, like room numbers, can change, and more than one client may have the same bed number, especially in larger healthcare facilities. Bed numbers alone do not provide a unique client identifier.
When preparing to administer a medication to a client, the nurse should use a reliable client identifier to ensure that the right medication is given to the right patient. The correct client identifier is:
Choice D Reason:
Photograph is correct. Using a photograph is a reliable way to confirm the client's identity, especially in settings where photograph identification is routinely used, such as inpatient hospital units. It helps eliminate the risk of medication errors and ensures that the nurse is administering the medication to the correct client.