Questions and Answers
Which of the following is incorrect data to use for client identification prior to medication administration?
What are the nurse's priority actions for a client diagnosed with Lyme disease who refuses treatment?
Which of the following may be implemented in the care plan for a client diagnosed with gastritis?
Based on the given symptoms, which condition does the nurse suspect for a client with difficulty breathing after a rib fracture?
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Study Notes
Medication Protocol
- Incorrect client identification data: Admission date
- Acceptable forms for identification: Hospital ID number, first and last name, date of birth
- Proper identification is vital to prevent medication errors and client harm
Lyme Disease Management
- Client has a history of tick bite and delayed diagnosis of Lyme disease
- Nurse's priority is to educate the client on treatment options while respecting their decision
- Importance of informed decisions: Clients must understand all pharmacological and non-pharmacological options before refusing treatment
- Early-stage Lyme disease is treatable with antibiotics; delayed treatment risks chronic complications like arthritis and fatigue
Gastritis Care Plan
- Considerations for managing gastritis include supportive care and lifestyle changes
- Anti-emetics may be included in treatment to manage vomiting and prevent dehydration
- Smoking cessation and reduced alcohol consumption are vital lifestyle modifications
- Gastritis results from inflammation of the stomach lining and a breakdown of the protective mucosal barrier
Respiratory Assessment
- Client with fractured rib presents with difficulty breathing and subcutaneous emphysema
- Signs assessed: Reduced breath sounds, hyperresonance during percussion, elevated pulse and respiratory rate, low blood pressure
- Likely condition: Pneumothorax, which is air accumulation in the pleural cavity due to rib fracture
- Rib fractures are common chest injuries and can lead to complications if not properly managed
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Description
This quiz focuses on the proper medication protocol and client identification methods in nursing. It highlights acceptable forms of client identification and underscores the importance of reducing errors and harm to clients. Test your knowledge with these flashcards that cover critical nursing concepts.