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A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (Select All that Apply)

A.

Provider's name

B.

Facility-assigned identification number

C.

Facility room number

D.

Partner's full name

E.

Client's full name

Question Solution

Correct Answer : B,E

A. The provider's name is not an acceptable identifier for verifying the client; it does not confirm the identity of the patient receiving the medication.  

 

B. A facility-assigned identification number is an acceptable identifier as it uniquely identifies the client within the healthcare system.  

 

C. The facility room number is not reliable for identifying clients, as multiple clients can be in the same room or there could be room changes.  

 

D. The partner's full name is not an appropriate identifier for the client; it does not confirm the identity of the patient.  

 

E. The client's full name is an acceptable identifier as it is a primary method to verify the identity of the client before medication administration.


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Correct Answer is A

Explanation

A. Urinary frequency for several days is an expected outcome after catheter removal, as the bladder may become more sensitive and responsive after having been drained continuously.

B. While temporary urinary retention can occur, it is less common after short-term catheterization, and most clients will start voiding normally within a few hours.

C. Blood-tinged urine may occur occasionally, but it is not a typical expected outcome unless there was trauma or irritation during catheterization.

D. Highly concentrated urine can occur due to dehydration or lack of fluid intake, but it is not a specific expected outcome following catheter removal.

Correct Answer is A

Explanation

A. Washing the area of the puncture thoroughly with soap and water is the first and most immediate action to reduce the risk of infection and transmission of bloodborne pathogens. This should be done as soon as possible after the injury.

B. Going to employee health services is necessary but should follow immediate first aid measures.

C. Completing an incident report is important for documentation and accountability but is not the immediate priority after a needle-stick injury.

D. Reporting the incident to the charge nurse is necessary for proper protocol but does not take precedence over ensuring the injury is properly cleaned first.

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