The nurse prepares to administer medication to Client A who is seated with other clients. Which does the nurse use to identify Client A?
1. #the entire group, "Who is Client A?"
2. Request that the other clients identify Client A.
3. Ask the clients, "Who receives medications now?"
4. Compare clients' identification bracelets with MAR.
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4. The nurse checks the client's identification bracelets to determine the identity of Client A and compares the spelling of the name and the medical record number on the bracelets to the MAR. The spelling and the MAR must match exactly; if not, the nurse does not administer the medication but does clarify the right client's identity. The nurse performs the required behavior to prevent client injury because clients often have the same name or a similarly spelled name.
1, 2, and 3. The nurse avoids relying on third parties to identify a client for medica-tion administration to avoid the risk of misidentification because the third party can be disoriented, psychotic, or on medications that alter thought processes or other neurological function. As well, Client A can be unknown to the other clients.
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After teaching a woman who has had a vacuum evacuation for a hydatidiform mole (molar pregnancy) about her condition, which of the following statements indicates that the nurse's teaching was successful?
A) "I will be sure to avoid getting pregnant for at least 1 year." B) "My intake of iron will have to be closely monitored for 6 months." C) "My blood pressure will continue to be increased for about 6 more months." D) "I won't use my birth control pills for at least a year or two."
A patient is signing a surgical consent. Afterwards, the nurse also signs the form. What is the meaning of the nurse's signature?
1. It means the patient was alert and aware of what was being signed. 2. It means the patient understood the procedure as described by the nurse. 3. It means the surgeon was too busy to wait for the patient to sign the form. 4. It means there is a likelihood of a successful outcome.
The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection by
a. walking the patient to the bathroom in-stead of using the bedside commode. b. encouraging compliance with prescribed antibiotic therapy. c. evaluating the patient's ability to effec-tively cough and deep breathe. d. offering fluids every hour while the pa-tient is awake.