Safety and Infection Control Practice Question
Question
The nurse is caring for a newly admitted client and is focused on client identification scenario 14. Which nursing action is most appropriate?
Answer choices
- A. Delay assessment until the next scheduled round if the client is not calling for help.
- B. Delegate the clinical assessment and nursing judgment to assistive personnel.
- C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
- D. Use two identifiers before medications, procedures, or specimen collection.
Correct Answer
D. 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: hard
- Domain: Safety and Infection Control
- Objective: client identification