A nurse on a medical-surgical unit is preparing to administer medication to a client for the first time. Which of the following client identifiers are appropriate for the nurse to use before administering the medication? (Select all that apply.)
Date of birth
Diagnosis
Identification number
Name
Room Number
Correct Answer : A,C,D
A. Date of birth is a commonly used identifier to confirm the client's identity.
B. Diagnosis is not an appropriate identifiers for confirming a client's identity.
C. Identification number is a unique identifier assigned to each client, helping ensure accurate identification.
D. Name is a fundamental identifier and should be used in combination with other identifiers to verify the client's identity.
E. Room number is not an appropriate identifiers for confirming a client's identity.
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Related Questions
Correct Answer is A
Explanation
A. Supporting the client in her personal decision respects her autonomy and right to make decisions about her own healthcare.
B. Referring the client to a counselor can be appropriate, but the primary response should be to support the client's decision.
C. Encouraging the client not to give up may not be appropriate if the client has made a well- considered decision to refuse further treatment.
D. Suggesting that the client talk with a breast cancer survivor may provide emotional support but should not be used as a means to persuade the client to undergo further treatment if she has made an informed decision to refuse.
Correct Answer is A
Explanation
A. Obtaining apical and radial rates simultaneously allows the nurse to assess for a pulse deficit by comparing the two rates. A pulse deficit is present when the apical rate (heard with a
stethoscope) is greater than the radial rate (palpated at the wrist).
B. Palpating pulses in the lower extremities is not specific for assessing a pulse deficit and may not accurately reflect the cardiac output.
C. Checking blood pressure in left and right arms assesses for blood pressure differences but does not specifically address a pulse deficit.
D. Comparing the pulse strength in the upper extremities does not directly assess for a pulse deficit; simultaneous assessment of apical and radial rates is more appropriate.
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