A nurse evaluates a client's understanding of why a medication reconciliation is performed upon admission to the hospital. Which statement made by the client indicates understanding?
"It helps to determine the cost of my medications during my stay."
"It is done to check if I have any allergies to the medications."
"It is performed to see if I need any new medications prescribed."
"It helps to reduce errors and promote safety during my stay."
The Correct Answer is D
A. "It helps to determine the cost of my medications during my stay.": Medication reconciliation is not intended to evaluate cost; its purpose is focused on safety and accuracy of medication administration, not financial considerations.
B. "It is done to check if I have any allergies to the medications.": While checking for allergies is part of safe medication management, the primary goal of reconciliation is to verify all medications and prevent errors, not solely to identify allergies.
C. "It is performed to see if I need any new medications prescribed.": Although reconciliation may reveal gaps in therapy, the main purpose is to ensure consistency between pre-admission and hospital medications and to prevent errors, rather than to determine new prescriptions.
D. "It helps to reduce errors and promote safety during my stay.": This statement reflects the client’s understanding that medication reconciliation is a safety measure aimed at preventing omissions, duplications, dosing errors, or interactions, which aligns with the primary goal of the process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A client here for a yearly physical examination: Routine preventive visits are non-urgent and do not pose an immediate threat to the client’s health. This makes the client a third-level priority, as care can safely be delayed while addressing more acute or emergent situations.
B. A client with hives, angioedema, and tachycardia: These symptoms indicate a potentially life-threatening allergic reaction, requiring immediate intervention. This client is a first-level priority due to risk of airway compromise and shock.
C. A client with 10/10 abdominal pain and vomiting: Severe pain is concerning and requires assessment and management. While not immediately life-threatening as a compromised airway, this requires prompt assessment and pain management to prevent deterioration and is a Second-Level Priority (urgent)
D. A client who is unconscious and not breathing: This is an absolute emergency requiring immediate resuscitation, making it a first-level priority. It takes precedence over non-urgent care such as routine physical exams.
Correct Answer is C
Explanation
A. Both the bell and diaphragm are used interchangeably for all types of sounds and pitches: The bell and diaphragm have distinct functions and are not interchangeable; each is designed to optimally detect specific sound frequencies.
B. The bell is used for high-pitched sounds, while the diaphragm is used for low-pitched sounds: This is incorrect; the bell is designed for low-pitched sounds, and the diaphragm is used for high-pitched sounds.
C. The diaphragm is used for high-pitched, like bowel sounds, while the bell is for low-pitched sounds: The diaphragm efficiently detects high-frequency sounds such as breath sounds, bowel sounds, and normal heart sounds, while the bell is more sensitive to low-frequency sounds like heart murmurs or bruits.
D. The diaphragm is used for softer sounds, like a murmur, while the bell is used for louder sounds: This reverses their functions; the bell is better suited for soft, low-pitched sounds, whereas the diaphragm captures louder, high-pitched sounds.
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