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Which is the best method for the nurse to correctly identify a client prior to surgery?

A.

Ask the client their date of birth and confirm it with the chart and name of surgery.

B.

Check the client’s medical record number and surgical consent form.

C.

Check the client’s armband and ask their name, date of birth, and site of surgery.

D.

Ask the client their name and social security number.

Answer and Explanation

The Correct Answer is C

Choice A reason: Asking the client their date of birth and confirming it with the chart and name of surgery is a good practice, but it is not the most comprehensive method. This approach verifies only one identifier and does not ensure the correct surgical site.

Choice B reason: Checking the client’s medical record number and surgical consent form is important, but it does not involve direct interaction with the client. This method verifies the documentation but does not confirm the client’s identity through personal verification.

Choice C reason: Checking the client’s armband and asking their name, date of birth, and site of surgery is the best method. This approach uses multiple identifiers and involves direct interaction with the client, ensuring accurate identification and confirmation of the correct surgical site. The use of multiple identifiers reduces the risk of errors and enhances patient safety.

Choice D reason: Asking the client their name and social security number is another method of identification, but it is not as commonly used in clinical settings due to privacy concerns. Additionally, it does not confirm the surgical site.


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Related Questions

Correct Answer is ["10"]

Explanation

  • 125 units of insulin in 250 mL of normal saline

Step 2: Calculate the concentration of insulin per mL.

  • Concentration = 125 units ÷ 250 mL
  • Concentration = 0.5 units/mL

Step 3: Determine the required rate of insulin administration.

  • Ordered dose = 5 units per hour

Step 4: Calculate the IV flow rate.

  • Flow rate (mL/hr) = Ordered dose ÷ Concentration
  • Flow rate (mL/hr) = 5 units ÷ 0.5 units/mL
  • Flow rate (mL/hr) = 10 mL/hr

The nurse should set the IV pump to 10 mL/hr.

Correct Answer is C

Explanation

Choice A reason:

Improving the ciliary movement in the lungs is not the primary purpose of chest physiotherapy. While ciliary movement is important for clearing mucus, CPT specifically aims to mobilize and remove secretions through techniques such as percussion, vibration, and postural drainage.

Choice B reason:

Increasing the ability to take deep breaths is not the main goal of chest physiotherapy. Although CPT can indirectly help improve lung function by clearing secretions, its primary purpose is to facilitate the removal of mucus from the lungs.

Choice C reason:

Loosening secretions in congested areas of the lungs is the most accurate reason for ordering chest physiotherapy. CPT helps to mobilize and clear mucus, which can improve ventilation and gas exchange, reduce the risk of infection, and aid in the recovery process.

Choice D reason:

Increasing the oxygen supply to your tissues is not the direct aim of chest physiotherapy. While clearing secretions can improve overall lung function and oxygenation, the primary goal of CPT is to remove mucus from the airways.

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