A nurse is assisting with the development of a nursing staff in-service about medication reconciliation. Which of the following instructions should the nurse recommend to include in the in-service?

Complete medication reconciliation when a client moves to a new room on the same unit.

Medication reconciliation should be completed whenever the nurse administers a medication.

Medication reconciliation can be delegated to an assistive personnel.

Include herbal supplements in the medication reconciliation.

Answer and Explanation

The Correct Answer is D

A. Complete medication reconciliation when a client moves to a new room on the same unit:

While it's important to update the client's information when they change rooms, this may not necessitate a full medication reconciliation. Medication reconciliation is typically more comprehensive and involves a thorough review of the client's entire medication regimen.

B. Medication reconciliation should be completed whenever the nurse administers a medication:

While it's important to verify medications before administration, a full medication reconciliation involves a broader review of the client's entire medication history and should not necessarily be done each time a single medication is administered.

C. Medication reconciliation can be delegated to an assistive personnel:

Medication reconciliation is a complex process that involves a thorough review of the client's medication history, and it is generally considered a nursing responsibility. Delegating this task to assistive personnel may compromise accuracy and completeness.

D. Include herbal supplements in the medication reconciliation:

This is the correct answer. Herbal supplements can interact with prescribed medications and may impact the client's overall health. Including them in the medication reconciliation process ensures a comprehensive assessment of the client's medication regimen.

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Correct Answer is ["0.5"]

Explanation

To calculate the number of tablets the nurse should administer, you can use the following formula:

Number of Tablets =Total Dose (mg)/Dose per Tablet (mg)

In this case:

Number of Tablets=2.5 mg/5 mg/tablet

Number of Tablets=0.5

Therefore, the nurse should administer 0.5 tablet of lisinopril 5 mg to achieve the prescribed dose of 2.5 mg, rounded to the nearest tenth.

A. Use an air-assisted device. B. Position the bed in reverse Trendelenburg. C. Elevate the head of bed to a 45° angle. D. Lower the bed close to the ground.

Correct Answer is A

Explanation

A. Use an air-assisted device.

Using an air-assisted device, such as a hover mat or air mattress, is an appropriate measure when repositioning a client with a pressure ulcer. These devices help reduce friction and shear forces, minimizing the risk of further skin breakdown. It also aids in maintaining the skin's integrity during movement, making it a suitable choice for the prevention of pressure ulcers.

B. Position the bed in reverse Trendelenburg:

Positioning the bed in reverse Trendelenburg involves raising the foot of the bed higher than the head. This position is not specifically related to pressure ulcer prevention or repositioning. It may be used for other medical reasons, but it does not directly address the issue of pressure ulcer care.

C. Elevate the head of bed to a 45° angle:

While elevating the head of the bed is commonly used for various reasons, including respiratory support or preventing aspiration, it may not be directly related to the repositioning of a client with a pressure ulcer. The angle mentioned (45°) is not specifically associated with pressure ulcer care.

D. Lower the bed close to the ground:

Lowering the bed close to the ground may be a safety measure to prevent injuries from falls, but it does not address the specific needs of repositioning a client with a pressure ulcer. The focus in pressure ulcer care is typically on using appropriate devices and techniques to minimize friction and pressure on vulnerable areas of the skin.

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A nurse is assisting with the development of a nursing staff in-service about medication reconciliation. Which of the following instructions should the nurse recommend to include in the in-service?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lisinopril 2.5 mg PO to an older adult client. Available is lisinopril 5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is reviewing safety precautions with an assistive personnel (AP) about repositioning a client who has a pressure ulcer. Which of the following actions suggested by the AP indicates an understanding of the procedure?

Correct Answer is A

Explanation

A charge nurse is reinforcing teaching with a newly licensed nurse about methods to contain health care costs within the acute care facility. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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