A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

When preparing the medication dosage

When reconciling counts of controlled substances

At the end of the shift

When removing the medication from the medication drawer

Directly before administering the medication

Answer and Explanation

Correct Answer : A,D,E

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Correct Answer is ["A","B","D"]

Explanation

A. Ensure that the client's bed is in the lowest position.

Keeping the bed in the lowest position helps prevent injury if the client tries to get out of bed, especially when restrained.

B. Assess skin temperature and color before applying the restraints.

This action ensures proper circulation and skin integrity while the restraints are in use. It helps prevent skin breakdown and injury.

C. Attach the client's restraints to the bed rail.

Attaching restraints to the bed rail is not considered a best practice as it can increase the risk of injury to the client. Restraints should be secured to the bed frame or another stable part of the bed to minimize the risk of harm.

D. Pad bony prominences before applying the restraints.

Padding bony prominences such as elbows and wrists helps prevent pressure ulcers and discomfort caused by the restraints.

E. Secure restraints to allow three fingers to slide under the restraints.

Restraints should be secured to allow only two fingers to slide under the restraints to ensure they are not too loose or too tight.

A. Place the sterile field at the level of the nurse's hips. B. Hold bottles of sterile solution with the label in the palm of the hand. C. Open the outermost flap of the sterile kit toward the body. D. Pour liquids into containers outside the sterile field

Correct Answer is B

Explanation

A.Place the sterile field at the level of the nurse’s hips: This is not a recommended action. The sterile field should be placed at waist level or slightly above to ensure easy access and prevent contamination.

B. Hold bottles of sterile solution with the label in the palm of the hand: This protects the label from becoming wet and illegible, which is proper sterile technique.

C. Open the outermost flap of the sterile kit toward the body: When opening a sterile kit or package, the nurse should open the outermost flap away from the body to prevent contamination. Opening the flap toward the body increases the risk of airborne particles or contaminants from the nurse's clothing or skin entering the sterile field.

D. Sterile liquids should be poured into sterile containers on the sterile field, taking care not to contaminate the field.

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A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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