Safety and Infection Control

The nurse is completing morning assessments and finds a client not wearing a name band. What priority actions will the nurse take to ensure correct client identification? Select all that apply. Use the medical record for client identification. Confirm identification with the client using two identifiers. Obtain a new identification name band. Ask the previous nurse to verify client identification. Investigate why the client's name band is missing.

Confirm identification with the client using two identifiers. Obtain a new identification name band. Ask the previous nurse to verify client identification. The nurse will need to confirm identification with the client using two identifiers, obtain a new identification name band, and ask the previous nurse to verify client identification. Investigating why the client's name band is missing and using the medical record is not sufficient for client identification and does not fix the issue of the missing name band.

The nurse is preparing to administer medications. What action(s) will the nurse take when administering the medications? Select all that apply. uses a scanner on client band asks a bedside visitor to confirm client identification confirms client's name and date of birth by verbalization of client uses a picture identification and name band of a nonverbal client asks another staff member for client confirmation

Confirms client's name and date of birth by verbalization of client Uses a picture identification and name band of a nonverbal client The best practices for medication administration include client identification with two methods such as confirming client's name and date of birth by verbalization of client or using a picture identification and name band of a nonverbal client. The scanner and asking a visitor or staff member are only single methods of client identification.

The nurse is late by over an hour when administering an antibiotic to a child being treated for a urinary tract infection. The antibiotic is prescribed to be given every 4 hours. What action should the nurse take after documenting the medication on the medication administration record?

fill out a medication error/occurrence report Failure to adhere to scheduled administration of a medication such as an antibiotic is a medication error. The nurse should complete a medication error/occurrence report. The nurse should also notify the charge nurse of the error but does not need to do this prior to initiating the proper paperwork. The nurse should adjust the time of the next dose to get the schedule back on track but does not need to involve the pharmacy to do this. The monitoring of the child's response would be done regardless of the time the medication was administered, so it is not relevant to this scenario.

A nurse is caring for a client with tuberculosis. Which infection-control technique is the priority when caring for this client?

wearing an N95 respirator when caring for the client Because tuberculosis is transmitted via airborne droplets, the priority for nurses caring for this client is to wear an N95 respirator whenever entering the client's room. Performing hand hygiene before entering the room will not prevent the transmission of TB. When using a fit-tested N95 respirator, it is not necessary to limit the time spent with the client. Isolation gowns are not necessary for airborne isolation.