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What times should the nurse measure vital signs? Select all that apply

 

A.

1500.

B.

1600.

C.

1800.

D.

1000.

E.

1200.

F.

0800.

G.

1400.

Question Solution

Correct Answer : A,B,C,D,E,F,G

Choice A rationale

 

1500 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice B rationale

 

1600 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice C rationale

 

1800 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice D rationale

 

1000 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice E rationale

 

1200 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice F rationale

 

0800 is a valid time for measuring vital signs as part of routine monitoring.

 

Choice G rationale

 

1400 is a valid time for measuring vital signs as part of routine monitoring.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Providing client-focused information is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

Choice B rationale

Observing the client’s body language can provide some insight into their understanding, but it is not a reliable method to confirm comprehension. The nurse needs to use a more direct approach to ensure understanding.

Choice C rationale

Asking the client for learning feedback is the most important strategy to confirm that the client is learning the critical information. This method allows the nurse to assess the client’s understanding and clarify any misconceptions. It ensures that the client has comprehended the instructions and can apply the information correctly.

Choice D rationale

Reinforcing key points with the client is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

Correct Answer is ["A","C","D","E","F"]

Explanation

Choice A rationale

Double-checking all dosage calculations is a crucial error prevention technique. It helps ensure that the correct dose is administered and reduces the risk of medication errors. This step is especially important for medications like insulin, where precise dosing is critical.

Choice B rationale

This option seems incomplete and does not provide a clear error prevention technique. Therefore, it is not considered a correct choice.

Choice C rationale

Comparing the medication label to the order is essential to verify that the correct medication is being administered. This step helps prevent errors related to administering the wrong medication.

Choice D rationale

Using at least two client identifiers before administering a dose is a standard safety practice. It ensures that the medication is given to the correct patient and helps prevent errors related to patient misidentification.

Choice E rationale

Involving and educating clients in medication administration can help prevent errors by ensuring that clients are aware of their medications and can alert healthcare providers to any discrepancies. This collaborative approach enhances patient safety.

Choice F rationale

Documenting all medication in the electronic record as soon as it is given is crucial for maintaining accurate and up-to-date records. This practice helps prevent duplicate dosing and ensures that all healthcare providers have access to the most current information.

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