Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

ask the patients their names

ask another nurse about their identities

check the patients' ID bands and patient information

verify their names with the family members

Answer and Explanation

The Correct Answer is C

A. Asking patients their names can help, but it is not the most reliable method, especially if patients are confused or unable to communicate.
B. Asking another nurse about their identities can introduce errors and is not a standard practice for patient identification.
C. Checking the patients' ID bands and patient information ensures accurate identification using multiple identifiers (e.g., name, birth date, medical record number), adhering to best practices for patient safety.
D. Verifying names with family members can be helpful but is not as reliable or standardized as checking ID bands and patient information.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Method is not one of the recognized 10 rights of safe medication administration. It is important to follow the correct method, but it is encompassed by the rights such as the right route and right time.
B. Unit is not part of the 10 rights of safe medication administration. Accurate dosage units are critical but are covered under the right dose and right medication.
C. The right medication ensures that the patient receives the correct drug, reducing the risk of adverse effects and therapeutic failures. Verifying the right medication is fundamental to safe medication administration practices.
D. The right evaluation involves monitoring the patient’s response to the medication to ensure it is effective and safe. This step helps in identifying any adverse reactions or the need for dosage adjustments.
E. The right assessment involves evaluating the patient’s condition before administering medication to determine if it is appropriate. It ensures that the medication is given safely, considering the patient’s current health status.
F. The right to client education involves informing the patient about the medication they are receiving, including its purpose, potential side effects, and any special instructions. Educating the patient promotes adherence and helps in the early identification of adverse effects.

A. Client administered nitroglycerin 0.3 mg SL for. chest pain B. Client's skin is pale and diaphoretic C. Client's blood pressure is 182/98 mm Hg D. Client reports chest pain after mowing lawn' this morning

Correct Answer is D

Explanation

A. This statement is an objective finding, describing an action taken (administration of nitroglycerin).
B. This statement describes objective observations of the client's physical appearance.
C. This statement provides objective data about the client's blood pressure.
D. This statement reflects the client's report of symptoms, making it part of the subjective component of SOAP documentation.

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Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In order for the nurse to administer medication safely, the nurse must understand the 10 rights of safe medication administration. Identify all of the rights listed below (Select All That Apply).

Correct Answer is ["C","D","E","F"]

Explanation

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

Correct Answer is D

Explanation

A nurse is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

A nurse is assisting with teaching a class about converting household measurements into metric measurements. Which of the following information should the nurse include?

This medication is most commonly used to treat acute angina attacks:

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?