A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?
Photograph
Medical diagnosis
Room number
Age
The Correct Answer is A
Rationale:
A. A photograph is a unique identifier that helps ensure the correct client receives the correct medications.
B. A medical diagnosis is not a unique identifier and may not be accurate if the client has multiple diagnoses.
C. A room number is not a unique identifier and may not be accurate if the client has been moved to a different room.
D. Age is not a unique identifier and may not be accurate if the client has multiple ages.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.
Correct Answer is D
Explanation
Rationale:
A. Wrist restraint orders typically require renewal every 24 hours, not every 36 hours.
B. Checking the client's range of motion every 6 hours is not specific to the use of wrist restraints.
C. Secure the restraints with a quick-release knot, not a square knot, to allow for quick removal in case of emergency.
D. Making sure two fingers fit under the restraints is important to ensure that they are not too tight and do not cause injury to the client.
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