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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)

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

A. Metabolic alkalosis. B. Respiratory acidosis. C. Metabolic acidosis. D. Respiratory alkalosis.

Correct Answer is C

Explanation

Choice A rationale:

Metabolic alkalosis is incorrect because it would present with a high pH and high HCO3, which is not the case here.

Choice B rationale:

Respiratory acidosis is incorrect because it would present with a low pH and high PaCO2, which is not the case here.

Choice C rationale:

Metabolic acidosis is correct because it presents with a low pH and low HCO3, which matches the client’s ABG results.

Choice D rationale:

Respiratory alkalosis is incorrect because it would present with a high pH and low PaCO2, which is not the case here.

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Before administering client medications, the nurse must identify the client.Which of the following methods of identification should the nurse use?

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Naxlex Comprehensive Predictor Exams

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Before administering client medications, the nurse must identify the client.
Which of the following methods of identification should the nurse use?