A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following identifiers should the nurse use to verify the identities of each client?
- A. The telephone numbers of the clients
- B. The room numbers of the clients
- C. The diagnoses of the clients
- D. The names of the clients' nearest relatives
Correct Answer: A
Rationale: Using the telephone numbers of the clients is correct. According to The Joint Commission's National Patient Safety Goals, at least two unique identifiers, such as date of birth and telephone number, should be used to verify client identity before administering medications to prevent errors.
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A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
- A. White blood cell count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Chemotherapy can cause leukopenia, so monitoring white blood cell count is essential to assess infection risk.
A nurse is caring for a client who has a new prescription for zolpidem. Which of the following adverse effects should the nurse monitor for?
- A. Drowsiness
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Zolpidem, a sedative-hypnotic, commonly causes drowsiness, which can affect safety and coordination.
A nurse is caring for a client who has a new prescription for metformin. Which of the following laboratory values should the nurse monitor?
- A. Blood glucose
- B. Hemoglobin
- C. Serum creatinine
- D. Cholesterol
Correct Answer: C
Rationale: Metformin can affect kidney function, so monitoring serum creatinine is essential to assess renal clearance and prevent lactic acidosis.
A nurse is caring for a client who has a new prescription for heparin. Which of the following laboratory values should the nurse monitor?
- A. Platelet count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Heparin can cause thrombocytopenia, so monitoring platelet count is essential to detect potential bleeding risks.
A nurse is caring for a client who has a new prescription for isosorbide mononitrate. Which of the following adverse effects should the nurse monitor for?
- A. Headache
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Isosorbide mononitrate, a nitrate, commonly causes headaches due to vasodilation, especially when starting therapy.
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