A nurse is preparing to administer medication to a child who is hospitalized with an infection. The nurse scans the patient's identification bracelet and verifies the medication order. Which of the following statements should the nurse make to ensure patient safety?
"Can you tell me your name and date of birth?"
"Do you have any allergies or adverse reactions to medications?"
"How do you feel today? Do you have any pain or discomfort?"
"What is the name of the medication and why are you taking it?"
The Correct Answer is A
Choice A reason: Asking the patient to tell their name and date of birth is a way to confirm their identity and match it with the medication order. This is one of the steps of the "five rights" of medication administration, which are the right patient, the right drug, the right dose, the right route, and the right time.
Choice B reason: Asking the patient about their allergies or adverse reactions to medications is important, but it is not a way to ensure patient safety in terms of identification. The nurse should have checked the patient's allergy status before preparing the medication.
Choice C reason: Asking the patient how they feel today and if they have any pain or discomfort is a way to assess their condition and provide comfort measures, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this assessment earlier in the shift or during the medication administration process.
Choice D reason: Asking the patient what is the name of the medication and why they are taking it is a way to educate them about their treatment and check their understanding, but it is not a way to ensure patient safety in terms of identification. The nurse should have done this education before or after giving the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: A white blood cell count (WBC) of 12,000/mm3 is within the normal range for children aged 2 to 6 years. A WBC count above this range may indicate an infection or inflammation.
Choice B reason: An erythrocyte sedimentation rate (ESR) of 40 mm/h is elevated for children aged 2 to 6 years. The normal range for this age group is 0 to 20 mm/h. An ESR above this range may indicate an infection or inflammation.
Choice C reason: A C-reactive protein (CRP) level of 8 mg/L is elevated for children aged 2 to 6 years. The normal range for this age group is less than 1 mg/L. A CRP level above this range may indicate an infection or inflammation.
Choice D reason: A blood culture positive for Staphylococcus aureus indicates a bacterial infection in the bloodstream. This can be a serious condition that requires prompt treatment with antibiotics.
Choice E reason: A urine culture negative for Escherichia coli indicates no bacterial infection in the urinary tract. This is a normal finding that does not require further action.
Correct Answer is C
Explanation
Choice A reason: This is not a possible source of infection. Wiping from front to back after using
the toilet can prevent bacteria from entering the urinary tract and causing infection.
Choice B reason: This is not a possible source of infection. Drinking plenty of water and cranberry juice every day can help flush out bacteria from
the urinary tract and prevent infection.
Choice C reason: This is a possible source of infection. Taking bubble baths with toys can introduce bacteria into
the urinary tract and cause infection.
Choice D reason: This is not a possible source of infection. Wearing cotton underwear and loose-fitting pants can allow air circulation and prevent moisture buildup in
the genital area, which can reduce
the risk of infection.
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