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 B

Explanation

Choice A reason: Inhalation targets lungs; transdermal means skin absorption, not respiratory, and this route doesn’t match the prescribed method’s pharmacokinetic profile.

Choice B reason: Transdermal drugs absorb through skin layers; this delivers medication systemically via dermal capillaries, bypassing first-pass metabolism, as intended by the order.

Choice C reason: Rectal administration uses suppositories; transdermal is skin-based, not mucosal, and this route doesn’t align with the prescribed absorption method.

Choice D reason: Sublingual dissolves under the tongue; transdermal is cutaneous, not oral, and this differs entirely from the skin-based delivery system specified.

A. 62.5 mL/hr B. 125 mL/hr C. 250 mL/hr D. 500 mL/hr

Correct Answer is A

Explanation

Choice A reason: Flow rate is volume divided by time; 250 mL over 4 hours equals 62.5 mL/hr, ensuring safe transfusion pacing to avoid fluid overload or hemolysis.

Choice B reason: 125 mL/hr assumes 250 mL over 2 hours; this doubles the ordered rate, risking circulatory overload and transfusion reactions in a standard protocol.

Choice C reason: 250 mL/hr infuses the unit in 1 hour; this rapid rate exceeds safe limits, potentially causing hypertension or pulmonary edema in vulnerable patients.

Choice D reason: 500 mL/hr is far too fast, implying 250 mL in 30 minutes; this dangerous speed could trigger severe hemolytic reactions or cardiovascular collapse.

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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

A primary health-care provider prescribes a medication that must be administered transdermal. Which information about the route of administration does the nurse understand is related to a drug prescribed to be administered transdermal?

Correct Answer is B

Explanation

The physician gives orders to infuse 1 unit (250 mL) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.

Correct Answer is A

Explanation

Why does the nurse administer lorazepam intramuscularly (IM) to the patient rather than into the subcutaneous tissue?

A nurse is preparing to administer an intramuscular injection for a client of average weight. At what angle would the nurse insert the needle?

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:

The nurse explains to a client that the drug administration of a medication is to be placed between the gum and jaw. By which route is the nurse administering this medication?

The nurse is to administer the patient's next dose of vancomycin at 9:30 a.m. What time will the nurse draw the patient's blood to check the trough vancomycin level?

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When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

The nurse is reviewing medication errors. Which situation is an example of a medication error?