A 64-year-old female client with a 3-day history of cough and chest pain is admitted for presumed pneumonia.

The client has a history of type 2 diabetes mellitus and takes insulin glargine 17 units in the morning and 17 units in the evening.

Which of the following actions should the nurse take to prevent medication errors?

Double check all dosage calculations.

nusually large or small doses.

Compare the medication label to the order.

Use at least 2 client identifiers before administering a dose.

Involve and educate clients in medication administration.

Document all medication in the electronic record as soon as it is given.

Answer and Explanation

Correct Answer : A,C,D,E,F

Choice A rationale
Double-checking all dosage calculations is a critical step in preventing medication errors. This ensures that the correct dose is administered and helps avoid potentially harmful mistakes.
Choice B rationale
The option “nusually large or small doses” seems to be a typographical error and does not provide a clear action to prevent medication errors. Therefore, it is not considered a correct choice.
Choice C rationale
Comparing the medication label to the order is essential to ensure that the correct medication is being administered. This step helps verify that the medication matches the provider’s prescription.
Choice D rationale
Using at least two client identifiers before administering a dose is a standard safety practice to confirm the client’s identity and prevent administering medication to the wrong person.
Choice E rationale
Involving and educating clients in medication administration can help prevent errors by ensuring that clients are aware of their medications and can alert the nurse to any discrepancies or concerns.
Choice F rationale
Documenting all medication in the electronic record as soon as it is given is crucial for maintaining accurate records and ensuring that all healthcare providers have up-to-date information about the client’s medication administration.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale
Edema in the fingers and hands can affect the accuracy of a pulse oximeter reading. The swelling can interfere with the probe’s ability to detect the blood flow properly, leading to a falsely low oxygen saturation reading.
Choice B rationale
A capillary refill time of 2 seconds is considered normal and does not typically affect the accuracy of a pulse oximeter reading.
Choice C rationale
Blood pressure of 142/88 mm Hg, while elevated, does not directly impact the accuracy of a pulse oximeter reading.
Choice D rationale
A radial pulse volume of 3+ indicates a strong pulse, which should not interfere with the accuracy of a pulse oximeter reading.

A. Provide client-focused information. B. Observe the client’s body language. C. Ask the client for learning feedback. D. Reinforce key points with the client.

Correct Answer is C

Explanation

Choice A rationale
Providing client-focused information is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.
Choice B rationale
Observing the client’s body language can provide some insight into their understanding, but it is not a reliable method to confirm comprehension. The nurse needs to use a more direct approach to ensure understanding.
Choice C rationale
Asking the client for learning feedback is the most important strategy to confirm that the client is learning the critical information. This method allows the nurse to assess the client’s understanding and clarify any misconceptions. It ensures that the client has comprehended the instructions and can apply the information correctly.
Choice D rationale
Reinforcing key points with the client is important, but it does not confirm that the client has understood the critical information. The nurse needs to ensure that the client has comprehended the instructions.

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Naxlex Comprehensive Predictor Exams

The nurse attaches a pulse oximeter to a client’s finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading?

Correct Answer is A

Explanation

The nurse is teaching a client about a newly prescribed medication. To confirm that the client is learning the critical information, which strategy is most important for the nurse to include during the instruction?

Correct Answer is C

Explanation

A healthcare organization requires nurses to chart by exception. Which assessment should the nurse document?

A nurse is reviewing a client’s laboratory results and notes a blood glucose result of 104 mg/dL (5.8 mmol/L). The reference range is 74 to 106 mg/dL (4.1 to 5.9 mmol/L). Which action should the nurse take?

The nurse is viewing the admission assessment of a client with chronic pain. What intervention(s) should the nurse include in the client’s plan of care? Select all that apply.

The nurse is teaching a client about the use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

A nurse is reviewing a client’s orders and notes the following: Vital signs every 4 hours, regular diet, Cefazolin 1g IV every 8 hours for 5 days, Metformin 1,000 mg PO every 12 hours, and point of care blood glucose check every 4 hours. Which action should the nurse take?

A 45-year-old client with breast cancer which has metastasized is receiving hospice care. The client is at home and the family is concerned about their loved one. The nurse assesses the client. Which of the following signs indicate that the client is near death?

A 16-year-old emancipated client is being seen in the emergency department following a minor automobile accident. The client’s parents arrive and are asking querry about the client’s laboratory results.Which response is best for the nurse to provide?

A child has experienced several episodes of vomiting. After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child. Which information should the nurse obtain about the popsicles?