A nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? (Select All that Apply.)
Confirm that the room number matches the medical record.
Compare the client identification number to the blood component tag number.
Verify the provider's prescription with another RN.
Ask the client to verbalize if the blood type is Rh-negative or positive.
Scan the barcode on the client's identification band.
Correct Answer : B,E
A. Confirm that the room number matches the medical record. Room numbers should never be used as a sole method to identify a client. Room assignments can change, and relying on them could lead to errors.
B. Compare the client identification number to the blood component tag number. Matching the client identification number to the blood component tag ensures the blood is being administered to the correct client. This is a key step in preventing transfusion errors.
C. Verify the provider's prescription with another RN. While this is an important step in the blood administration process, it is not specifically related to identifying the client.
D. Ask the client to verbalize if the blood type is Rh-negative or positive. Clients may not know their blood type, and relying on their verbal confirmation is unsafe. The blood type must be confirmed through laboratory testing and matched with the blood being administered.
E. Scan the barcode on the client's identification band. Scanning the barcode on the client’s identification band is a reliable and commonly used method for verifying the client’s identity in modern healthcare settings. This ensures that the blood is administered to the correct client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The test is noninvasive, and nothing will be inserted into the client's body: Transthoracic echocardiography (TTE) is a noninvasive procedure that uses ultrasound waves to create images of the heart. It involves placing a transducer on the chest wall to capture images of the heart's structure and function. The nurse should inform the client that no instruments or devices will be inserted into their body during the test.
B. The client will remain on bed rest for 1 to 2 hours after the test: This statement is not typically accurate for a TTE procedure. After a TTE, clients can usually resume their normal activities without any specific bed rest requirements, unless otherwise specified by the healthcare provider based on individual circumstances.
C. The client's pain will be managed aggressively during the procedure: TTE is generally a painless procedure that does not require aggressive pain management. The client may feel slight discomfort from the transducer's pressure on the chest, but it is typically well tolerated without the need for pain medication.
D. The test will provide a detailed profile of the heart's electrical activity: While echocardiography provides detailed images of the heart's structure and function, including information about blood flow and valve function, it does not directly assess the heart's electrical activity. For evaluating electrical activity, other tests such as electrocardiography (ECG or EKG) would be used.
Correct Answer is ["A","B","C"]
Explanation
A. Relieve client symptoms - Heart failure can cause symptoms like shortness of breath, fatigue, swelling (edema), and difficulty exercising. Relieving these symptoms is an important goal to improve the client's quality of life and overall well-being.
B. Extend survival - Heart failure is a chronic condition that can significantly impact life expectancy. One of the goals of care is to optimize management to extend the client's survival and reduce the risk of complications.
C. Improve functional status - Heart failure can limit a person's ability to perform daily activities and exercise. Improving functional status involves strategies such as medication management, lifestyle modifications, and cardiac rehabilitation to enhance the client's ability to engage in daily activities and maintain independence.
D. Prevent endocarditis - Endocarditis is an infection of the inner lining of the heart chambers and heart valves. While preventing infections is important for overall health, preventing endocarditis may not be directly related to the primary goals of heart failure management. However, maintaining good hygiene and avoiding infections can contribute to the overall well-being of the client.
E. Limit physical activity - This statement is incorrect in the context of heart failure management. Encouraging appropriate levels of physical activity is often part of heart failure care. Physical activity, when tailored to the individual's abilities and guided by healthcare professionals, can improve cardiovascular function, strengthen muscles, and enhance overall health outcomes in clients with heart failure.
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