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

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

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

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

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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Correct Answer is D

Explanation

Choice A reason: Albuterol is a bronchodilator that helps to open up the airways, making it easier to breathe. It is commonly used in the treatment of acute bronchitis, especially if the patient is experiencing wheezing or shortness of breath. Albuterol works by relaxing the muscles around the airways, which helps to relieve symptoms of bronchospasm.

Choice B reason: Guaifenesin is an expectorant that helps to thin and loosen mucus in the airways, making it easier to cough up and clear out. This can be particularly helpful for a patient with a productive cough and green sputum, as it aids in clearing the respiratory passages. Guaifenesin is often used in the management of acute bronchitis to help alleviate symptoms.

Choice C reason: Methylprednisolone is a corticosteroid that helps to reduce inflammation in the airways. It can be beneficial in severe cases of acute bronchitis where there is significant inflammation and swelling of the bronchial tubes. Corticosteroids like methylprednisolone are used to decrease the inflammatory response and improve breathing.

Choice D reason: Dextromethorphan is a cough suppressant that works by affecting the signals in the brain that trigger the cough reflex. However, in the case of acute bronchitis with a productive cough, suppressing the cough can be counterproductive. The goal is to clear the mucus from the airways, and suppressing the cough can lead to mucus retention and potentially worsen the condition. Therefore, the use of a cough suppressant like dextromethorphan is not recommended in this scenario.

A. The client will demonstrate decreased episodes of coughing at night. B. The client’s pulse oximetry values will remain above 94% on room air for the majority of the time. C. The client’s breath sounds will only have slight wheezing by discharge. D. The client will correctly demonstrate the use of a peak flow meter.

Correct Answer is B

Explanation

Maintaining adequate oxygenation is the primary goal for a client with impaired gas exchange due to an asthma exacerbation. Pulse oximetry is a non-invasive method to monitor the oxygen saturation of a patient’s blood, and values above 94% indicate sufficient oxygenation.

Choice A reason:

The client will demonstrate decreased episodes of coughing at night is important but not the priority goal. While reducing coughing can improve comfort and sleep quality, it does not directly address the critical issue of impaired gas exchange. The primary concern in an asthma exacerbation is ensuring that the client maintains adequate oxygen levels.

Choice B reason:

The client’s pulse oximetry values will remain above 94% on room air for the majority of the time is the priority goal. This goal directly addresses the issue of impaired gas exchange by ensuring that the client maintains adequate oxygenation. Pulse oximetry values above 94% indicate that the client’s blood is sufficiently oxygenated, which is crucial for preventing hypoxemia and ensuring that the body’s tissues receive enough oxygen to function properly.

Choice C reason:

The client’s breath sounds will only have slight wheezing by discharge is a relevant goal but not the priority. While reducing wheezing is an indicator of improved airway function, it is not as directly measurable or critical as maintaining adequate oxygen saturation. Wheezing can persist even when oxygen levels are adequate, so it is not the most reliable indicator of improved gas exchange.

Choice D reason:

The client will correctly demonstrate the use of a peak flow meter is an important educational goal but not the priority in an acute setting. Proper use of a peak flow meter can help the client monitor their asthma and prevent future exacerbations, but it does not directly address the immediate issue of impaired gas exchange. The priority in an acute asthma exacerbation is to ensure that the client is adequately oxygenated.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing newly written prescriptions for a client diagnosed with acute bronchitis. The client has a productive cough with green sputum and shortness of breath. The nurse would question the primary care provider regarding which medication order?

Correct Answer is D

Explanation

The nurse prioritizes impaired gas exchange as a problem for a client with an asthma exacerbation. Which of the following is the client’s priority goal?

Correct Answer is B

Explanation

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