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 ["A","B","C","E"]
Explanation
Choice A reason: Children who have chronic conditions such as asthma or diabetes are more prone to infection because their immune system may be compromised or weakened by their underlying disease.
Choice B reason: Children who receive immunizations on time are less likely to get infected because they have developed immunity against certain diseases that can be prevented by vaccines.
Choice C reason: Children who have invasive devices such as catheters or IV lines are at increased risk of infection because these devices can introduce microorganisms into the body or create a portal of entry for infection.
Choice D reason: Children who share a room with another patient are more exposed to infection because they may come in contact with the infectious agent from the other patient or the environment.
Choice E reason: Children who have visitors or family members who are sick should not be in contact with them because they may transmit the infection to the child or vice versa.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: This is an incorrect action. The nurse should place the child in a private room with negative air pressure only if the child has an airborne infection, such as tuberculosis or measles. Chickenpox is transmitted by both airborne and contact routes, so a private room with positive air pressure is sufficient.
Choice B reason: This is a correct action. The nurse should wear gloves and a gown when entering the room to prevent contact transmission of chickenpox.
Choice C reason: This is a correct action. The nurse should apply calamine lotion to the skin lesions to relieve itching and prevent scratching.
Choice D reason: This is a correct action. The nurse should administer acyclovir as prescribed to reduce viral shedding and shorten the duration of symptoms.
Choice E reason: This is an incorrect action. The nurse should not give aspirin for fever and pain relief to a child who has chickenpox, because it can increase the risk of Reye syndrome, a rare but serious condition that affects the liver and brain.
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