Which identifier should the nurse use during the initial time-out to determine the right patient?
Employer
Medical record number
Maiden name
Date of birth
The Correct Answer is D
A. Employer. An employer is not a unique patient identifier.
B. Medical record number. A medical record number is a unique identifier and is a recommended method for verifying the right patient.
C. Maiden name. A maiden name is not a reliable identifier, as patients may change names over time.
D. Date of birth: The date of birth is a critical and commonly used patient identifier, often paired with another piece of information (such as name or medical record number). It is specific and unique to the patient, making it ideal for ensuring the right individual receives care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Allow the client time alone to self-reflect.: Suicidal clients should not be left alone. They require immediate assessment and intervention.
B. Reassure the client that everything is going to work out.: Offering false reassurance can invalidate the client’s feelings and may discourage further discussion of their distress.
C. Ask the client about the lethality of their plan.: The nurse should assess the specifics of the client’s plan to determine the level of risk. A detailed, lethal plan indicates a higher suicide risk and requires immediate intervention.
D. Encourage the client to focus on the positive aspects of life.: While positive reinforcement is helpful, it does not address the immediate risk of suicide. The nurse should prioritize risk assessment and safety.
Correct Answer is B
Explanation
A. Oxygen saturation 96%. This is a normal oxygen saturation level, so it is not a concern.
B. Blood pH 7.32. A pH below 7.35 indicates acidosis, which is concerning in a patient with a respiratory disorder, as it may indicate respiratory failure.
C. Hemoglobin level 12 mg/dL. This is a normal hemoglobin level for most adults and does not indicate a critical problem.
D. PaO2 80 mm Hg. While slightly lower than the normal range (normal is 80–100 mm Hg), this is not the most concerning finding.
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