The best method to verify "the right patient" in an unconscious client is to:

Check the patient's identification number on the wristband.

Check the patient's name on the wristband and compare it with the MAR.

Check the name and hospital number on the wristband and compare them to the MAR.

Call each patient by his given name, ask for his birthday, and compare with the MAR.

Answer and Explanation

The Correct Answer is C

Choice A reason: An ID number alone lacks context; without name confirmation, it risks mismatching if wristbands are swapped, missing a critical identity check.

Choice B reason: Name alone may coincide with common names; without a unique identifier like a hospital number, this method risks errors in a busy unit.

Choice C reason: Name and hospital number provide dual identifiers; this matches the MAR precisely, ensuring accuracy for an unconscious patient per safety standards.

Choice D reason: Calling an unconscious patient is futile; they can’t respond, making this impractical and unreliable compared to objective wristband verification.

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Correct Answer is A

Explanation

Choice A reason: Lisinopril is Zestril’s generic name; an ACE inhibitor, it’s widely used for hypertension, matching the context of a common medication order.

Choice B reason: Acetaminophen, a pain reliever, isn’t Zestril’s generic; it lacks antihypertensive action, making it irrelevant to the implied medication class.

Choice C reason: Morphine, an opioid, treats pain, not hypertension; it doesn’t align with Zestril’s purpose or class, ruling it out as the generic name.

Choice D reason: Fentanyl, another opioid, addresses pain, not blood pressure; it’s unrelated to Zestril’s therapeutic role, excluding it from consideration.

A. 8:00 and 10:00 A.M. B. 8:30 and 9:30 A.M. C. 8:30 and 9:00 A.M. D. 8:45 and 9:15 A.M.

Correct Answer is D

Explanation

Choice A reason: Two-hour window (8:00-10:00) is too broad; most protocols allow 30 minutes before/after, as wider ranges risk altering drug pharmacokinetics significantly.

Choice B reason: One-hour window (8:30-9:30) is common but exceeds some strict policies; it’s less precise, potentially affecting drugs with tight timing needs.

Choice C reason: 8:30-9:00 is only before; it excludes post-9:00 flexibility, limiting administration to early dosing, which may not align with full protocol windows.

Choice D reason: 8:45-9:15 (30 minutes either side) fits standard policy; it ensures therapeutic levels for most drugs, balancing efficacy with practical scheduling.

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The best method to verify "the right patient" in an unconscious client is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

Correct Answer is A

Explanation

A client is to receive a medication at 9:00 A.M. To prevent a medication error by administering at the incorrect time, the nurse can administer the medication anytime between:

Correct Answer is D

Explanation

The patient's respirations dropped from 14 breaths/minute to 8 breaths/minute after receiving a large dose of morphine. Which term accurately describes the patient's reaction to the morphine?

A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child:

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

The graduate nurse is aware that the count of the unit's narcotics and controlled substances at the change of shifts should involve:

Using the label, what is the strength of the medication? (No label; assuming Zestril from prior context.)

The patient's medication is ordered to be administered TID. Which times will be entered into the patient's medication schedule?

The physician orders Salagen 10 mg po twice a day for dry eyes. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?

A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is: