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.
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 B
Explanation
Choice A Reason:
Increasing the client’s intake of Vitamin C can help with wound healing due to its role in collagen formation. However, this is not an immediate action to prevent wound dehiscence. While important for overall recovery, it does not directly address the mechanical stress on the incision site that can lead to dehiscence.
Choice B Reason:
Teaching the client to splint the incision when coughing is the most effective immediate action to prevent wound dehiscence. Splinting provides support to the incision site, reducing the risk of the wound opening due to the pressure exerted during coughing or other activities that increase intra-abdominal pressure. This method directly addresses the mechanical stress that can cause dehiscence.
Choice C Reason:
Having the client do abdominal exercises is not appropriate in the immediate postoperative period as it can increase the risk of wound dehiscence. Abdominal exercises can put additional strain on the incision site, potentially leading to separation of the wound edges.
Choice D Reason:
Performing passive range of motion exercises is beneficial for preventing complications such as joint stiffness and muscle atrophy. However, it does not specifically address the prevention of wound dehiscence. These exercises do not provide the necessary support to the incision site to prevent it from opening.
Correct Answer is C
Explanation
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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