Before administering client medications, the nurse must identify the client.
Which of the following methods of identification should the nurse use?
Ask the client's full name and date of birth.
Verify the client's room number.
Ask a family member to verify the client's identity.
Check the client's name on the medication administration record (MAR)
The Correct Answer is A
Choice A rationale:
Asking the client’s full name and date of birth is the most reliable method of identification.
Choice B rationale:
Verifying the client’s room number is not reliable because room assignments can change.
Choice C rationale:
Asking a family member to verify the client’s identity is not always possible or reliable.
Choice D rationale:
Checking the client’s name on the medication administration record (MAR) is important but should be done in conjunction with direct client identification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.
Choice B rationale:
Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.
Choice C rationale:
Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.
Choice D rationale:
Vomiting is not typically an early sign of circulatory overload.
Correct Answer is D
Explanation
Choice A rationale:
Decreased deep-tendon reflexes are not a common symptom of hypocalcemia. Normal calcium levels in the blood range from 8.5 to 10.2 mg/dL1.
Choice B rationale:
Skeletal muscle weakness is a symptom of hypercalcemia, not hypocalcemia.
Choice C rationale:
Hypoactive bowel sounds are associated with hypercalcemia, not hypocalcemia.
Choice D rationale:
Tingling of the lips is a common symptom of hypocalcemia. This occurs due to increased excitability of the nerves.
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