A nurse is preparing to administer medication to a newbor (2024)

A nurse is preparing to administer medication to a newborn. Which of the following information should the nurse use to identify the newborn?

Name and medical record number

Birth date and mother's name

Age and diagnosis

Footprints and identification number

Answer and Explanation

The Correct Answer is A

A. Name and medical record number: This information is unique to each individual and is used to accurately identify patients in healthcare settings, including newborns.
B. Birth date and mother's name: While important for identification, this information alone may not be sufficient to accurately identify a newborn, especially in situations where there may be multiple newborns with similar birth dates or mothers with the same name.
C. Age and diagnosis: Age and diagnosis are important clinical information but are not typically used as primary identifiers for medication administration.
D. Footprints and identification number: While footprints and identification numbers may be used as supplemental identifiers, they are not as reliable or commonly used as name and medical record number for medication administration.

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Correct Answer is A

Explanation

A. Changing the dressing on a client's IV site is a task that can be safely delegated to an assistive personnel (AP) who has been trained in the procedure. It does not require advanced nursing knowledge or assessment skills.
B. Suctioning a client's new tracheostomy requires specialized training and expertise to ensure proper technique and prevent complications. It is not appropriate to delegate this task to an AP.
C. Evaluating a client's risk for developing pressure injuries involves assessment and critical thinking skills that are within the scope of nursing practice. This task should be performed by a licensed nurse.
D. Administering a large-volume enema to a client involves the administration of medication, which should be performed by a licensed nurse who can assess the client's condition and response to treatment.

A. Allow the infant to have soft foods. B. Maintain elbow restraints on the infant. C. Instruct the parents to feed the infant with a spoon. D. Tell the parents to avoid brushing the infant's teeth for two weeks.

Correct Answer is C

Explanation

A. Allow the infant to have soft foods: Following cleft palate repair, infants may need to avoid certain foods until they have healed sufficiently. Soft foods may be appropriate depending on the recommendations of the healthcare provider, but this should be determined on an individual basis.
B. Maintain elbow restraints on the infant: Elbow restraints are typically used to prevent the infant from accessing the surgical site with their hands. However, the use of restraints should be based on the healthcare provider's orders and individual assessment, not a routine practice.
C. Instruct the parents to feed the infant with a spoon: Following cleft palate repair, infants may have difficulty with sucking, so feeding with a spoon may be more appropriate to prevent aspiration and promote healing of the surgical site.
D. Tell the parents to avoid brushing the infant's teeth for two weeks: While it is important to be gentle around the surgical site, proper oral hygiene should still be maintained. Brushing the infant's teeth should be done gently and as tolerated, following the guidance of the healthcare provider.

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