Safety and Infection Control Practice Question

Question

The nurse is caring for a child with fever and is focused on client identification scenario 13. Which nursing action is most appropriate?

Answer choices

  1. A. Delay assessment until the next scheduled round if the client is not calling for help.
  2. B. Use two identifiers before medications, procedures, or specimen collection.
  3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
  4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

B. Use two identifiers before medications, procedures, or specimen collection.

Explanation

The priority action for client identification is to use two identifiers before medications, procedures, or specimen collection. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

  • Difficulty: medium
  • Domain: Safety and Infection Control
  • Objective: client identification

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