In order to ensure that a medication is given to the right patient, the nurse must perform which action?
a. Ask the patient to spell their last name.
b. Match the patient with a photo ID.
c. Swipe a bar code on the patient's ID bracelet.
d. Verify the patient using two identifiers.
ANS: D
The Joint Commission requires two forms of identification before medication administration. Patients are asked to state their name and date of birth. Some, but not all institutions, use photos and bar codes to aid in identification.
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Which of the following is true about assertion communication?
a. Components include the ability to say no and to ask for what you want. b. It includes a demonstration of deference to the demands of others. c. It consistently violates the needs of others. d. It includes the expression of only positive thoughts and feelings.
The nurse has completed a health history on 75-year-old individual who recently lost their spouse. They report losing 20 pounds in the past three months. The nurse can anticipate that the most likely explanation would be:
1. Food insecurity. 2. Depression and sense of loss over spouse's death. 3. Decrease in opportunities for social interactions. 4. Multiple medications.
A nurse knows that when skin slides over another surface in the opposite direction, it can cause abrasions and open skin areas, which is known as
1. Shearing. 2. Peristalsis. 3. Atelectasis. 4. Deep vein thrombosis (DVT).
Which nursing diagnoses should the nurse include in the plan of care for a pediatric client diagnosed with cerebral palsy? Select all that apply
1. Risk for Constipation 2. Impaired Tissue Integrity 3. Impaired Verbal Communication 4. Acute Pain 5. Risk for Delayed Development