A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Consult the pharmacist about the client's prescribed medications.

Call the provider to clarify the client's prescribed medications.

Compare the client's medication administration record with the prescriptions on the transfer orders.

Review the intended purpose of the prescribed medications with the client.

Answer and Explanation

The Correct Answer is C

A.   Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B.   Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C.   Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D.   Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.

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Correct Answer is D

Explanation

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor: This client has a complex medical condition and requires specialized obstetric care.
B. A client who has gestational diabetes and is receiving biweekly nonstress tests: This client requires routine antenatal monitoring, which may be within the scope of practice of an RN with experience in obstetrics.
C. A client who is at 32 weeks of gestation and has premature rupture of membranes: This client has a high-risk pregnancy complication and requires specialized obstetric care.
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump: This is the correct answer. This client has recently undergone surgery and has a patient- controlled analgesia (PCA) pump, indicating a need for postoperative care, pain management, and monitoring, which aligns with the skills of a medical-surgical nurse.

A. Observe staff medication administration procedures. B. Require staff to complete a medication administration review module. C. Identify data that should be collected related to medication errors. D. Re-evaluate staff performance in relation to the established standard.

Correct Answer is C

Explanation

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

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A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

Correct Answer is D

Explanation

A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Correct Answer is C

Explanation

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