Acceptable identifiers include which of the following? Select all that apply.
client's name
client's medical record number
client's date of birth
client's favorite color
client's phone number
Correct Answer : A,B,C,E
A. Client's name: The client’s full legal name is a standard and reliable identifier used to confirm identity before administering medications, treatments, or procedures. It is widely accepted in patient safety protocols.
B. Client's medical record number: The medical record number is unique to each client and serves as a secure identifier in the healthcare system. It ensures accurate documentation and prevents errors when accessing client records.
C. Client's date of birth: The date of birth is a consistent and verifiable identifier, often used in combination with name or medical record number to accurately confirm client identity.
D. Client's favorite color: Personal preferences such as favorite color are not standardized, verifiable, or reliable identifiers. They do not meet safety or regulatory standards for client verification.
E. Client's phone number: A phone number can serve as an additional identifier when cross-checking records, especially in outpatient or telehealth settings. It provides a verifiable, unique data point linked to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypertonic: Hypertonic solutions have a higher solute concentration than human blood, causing water to move out of cells and leading to cellular shrinkage. These solutions are used in specific clinical situations such as reducing cerebral edema. They do not match normal plasma osmolality.
B. Hyperosmolar: Hyperosmolar refers to a solution with increased total osmoles per liter, which may or may not be equal to blood concentration. This term describes osmotic strength rather than equivalence to plasma. It does not specifically indicate the same solute concentration as blood.
C. Isotonic: Isotonic solutions have the same solute concentration and osmotic pressure as human blood plasma. They do not cause net fluid movement into or out of cells, maintaining normal cell size and function. Common examples include 0.9% normal saline and lactated Ringer’s.
D. Hypotonic: Hypotonic solutions have a lower solute concentration than blood, causing water to move into cells and potentially leading to cellular swelling. These fluids are used cautiously due to the risk of edema. They do not match plasma solute concentration.
Correct Answer is C
Explanation
A. Administer the medication since it was prepared by a trusted colleague: Administering a medication prepared by someone else violates the “five rights” of medication administration and increases the risk of errors, regardless of trust. Accountability for safe administration rests with the nurse who gives the medication.
B. Ask the client if they are expecting this medication before administering it: While confirming with the client can help identify discrepancies, clients may not always know medication names or doses, making this an unreliable sole verification method. It does not replace professional responsibility for safe administration.
C. Politely decline and suggest the coworker administers it themselves: Nurses are responsible for administering only medications they have personally prepared or verified. Declining ensures adherence to safety standards, prevents errors, and maintains professional accountability. This approach aligns with ethical and regulatory guidelines.
D. Verify the medication with the pharmacy before administering it: Although verifying with the pharmacy is a safety measure, it is not practical for an immediate administration scenario and does not replace the nurse’s responsibility to prepare or personally verify the medication prior to giving it.
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