When the nurse administers medications to a patient, she should check what identifiers?
Passport or advanced driver's license
Nave and Date of Birth in add on the MRN can be used as the 3rd identifier
Room number and roommates’ crosscheck
Credit Card and insurance
The Correct Answer is B
A. Passport or advanced driver’s license: These are not standard patient identifiers in healthcare settings.
B. Name and Date of Birth in add on the MRN can be used as the 3rd identifier: The Joint Commission’s National Patient Safety Goals require at least two identifiers (Name and Date of Birth). The Medical Record Number (MRN) can serve as a third identifier for additional accuracy.
C. Room number and roommates’ crosscheck: Room numbers are not reliable because patients may be moved to different rooms.
D. Credit Card and insurance: Financial information does not verify the identity of the patient receiving care.
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Related Questions
Correct Answer is D
Explanation
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.
B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.
C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.
D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.
Correct Answer is ["320"]
Explanation
- 10 mL medication
- 3 oz formula (1 oz = 30 mL → 3 × 30 = 90 mL)
- 2 oz juice (2 × 30 = 60 mL)
- IV fluids at 20 mL/hr for 8 hours (20 × 8 = 160 mL)
Total intake: 10 + 90 + 60 + 160 = 320 mL
Correct Answer: 320
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