A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following identifiers should the nurse use to verify the identities of each client?
The telephone numbers of the clients
The room numbers of the clients
The diagnoses of the clients
The names of the clients' nearest relatives
The Correct Answer is A
A. Using the telephone numbers of the clients is correct. According to The Joint Commission's National Patient Safety Goals, at least two unique identifiers, such as date of birth and telephone number, should be used to verify client identity before administering medications to prevent errors.
B. Using the room numbers of the clients is incorrect. Room numbers can change, and relying on them increases the risk of medication errors if a client is moved or misidentified.
C. Using the diagnoses of the clients is incorrect. A diagnosis is not a unique identifier, as multiple clients in a unit may have the same or similar conditions, leading to potential confusion.
D. Using the names of the clients' nearest relatives is incorrect. Family members’ names do not provide a direct, unique way to verify the client’s identity, making them unreliable for medication administration.
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Related Questions
Correct Answer is C
Explanation
A. Tying the gown with the gloves on is incorrect. The correct order of donning personal protective equipment (PPE. is to apply the gown first, followed by gloves. Tying the gown after the gloves may compromise proper gown coverage.
B. Tucking the glove cuffs under the gown sleeves is incorrect. The glove cuffs should be pulled over the gown sleeves to ensure a secure, closed barrier between the gown and gloves, helping to prevent contamination.
C. Applying the gown before the gloves is correct. According to infection control guidelines, the gown should be worn first, followed by gloves. This technique ensures that the gown covers the sleeves properly and that the gloves are overlapping the gown cuffs, reducing the risk of contamination.
D. Pushing the gown sleeves up to the elbows is incorrect. Gown sleeves should remain down to cover the wrists to protect the forearms from contamination, especially when caring for a patient with Clostridium difficile, which requires contact precautions.
Correct Answer is D
Explanation
A. Respiratory acidosis is incorrect. Chronic diarrhea typically leads to metabolic acidosis, not respiratory acidosis. Metabolic acidosis occurs due to the loss of bicarbonate through diarrhea, which affects the body’s acid-base balance.
B. Hypermagnesemia is incorrect. Chronic diarrhea is more likely to lead to hypomagnesemia due to the loss of electrolytes through frequent bowel movements, not an increase in magnesium levels.
C. Hypertension is incorrect. Chronic diarrhea generally leads to dehydration and hypotension due to fluid loss rather than high blood pressure.
D. Hypokalemia is correct. Chronic diarrhea causes significant potassium loss, which can result in hypokalemia (low potassium levels). Potassium is lost in the stool, and this depletion can lead to muscle weakness, arrhythmias, and other complications.
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