A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out?
(Select All that Apply.)

Ask the client to read their identification bracelet.

Ask the client to point to the surgical site.

Use two acceptable client identifiers.

Verify that the surgical site has been marked.

Ask the client to state the surgery being performed.

Answer and Explanation

Correct Answer : C

A.   Asking the client to read their identification bracelet can be additional verification steps, but it is not standard practice for all institutions

B.   To point to the surgical site can be additional verification steps, but it is not standard practice for all institutions.
C.   Using two acceptable client identifiers, such as the client's name and date of birth, to confirm the patient's identity.
D.   It is important to verify that the surgical site has been marked, which is a critical step in preventing wrong-site surgery.
E.   Asking the client to state the surgery being performed is a good practice as it involves the patient in their care and serves as a final verification of the correct procedure.

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Correct Answer is ["675"]

Explanation

1 kilogram is approximately 2.2 pounds.

The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2).

Next, multiply the client's weight in kilograms by the dosage prescribed, which is 15 mg/kg/day. This results in a total daily dosage of 1350 mg (90 kg * 15 mg/kg). Since the medication is to be administered every 12 hours, divide the total daily dosage by 2 to get the amount for each dose. Therefore, the nurse should administer 675 mg every 12 hours.

A. Rinse the client's mouth before collecting the specimen. B. Obtain the specimen from the client in the evening. C. Save the sputum specimen in a clean container. D. Collect the sputum specimen after a meal.

Correct Answer is A

Explanation

A. Rinsing the client's mouth helps to remove oral contaminants, ensuring that the sputum specimen is representative of the respiratory secretions.
B. Obtaining the specimen in the evening is not a specific requirement; the best time to collect the specimen is when the client has the most productive cough.
C. Saving the sputum specimen in a clean container is essential to prevent contamination. However, a sterile container is usually required.
D. Collecting the sputum specimen after a meal might induce coughing but can also contaminate the specimen with food particles.

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A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out?
(Select All that Apply.)