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.)

At the end of the shift

When removing the medication from the medication drawer

Directly before administering the medication

When reconciling counts of controlled substances

When preparing the medication dosage

Answer and Explanation

Correct Answer : B,C,E

A. At the end of the shift is incorrect. Medication verification is done before administration, not at the end of the shift.

B. When removing the medication from the medication drawer is correct. This is the first check to ensure the correct medication is selected.

C. Directly before administering the medication is correct. This is the final check to verify that the correct medication, dose, route, and time match the prescription before giving it to the client.

D. When reconciling counts of controlled substances is incorrect. While controlled substances require counting and verification, this is separate from the three medication checks performed during administration.

E. When preparing the medication dosage is correct. This is the second check, ensuring that the correct medication and dose are prepared accurately before administration.

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Correct Answer is C

Explanation

A. Drinking a cup of hot cocoa before bedtime might not be advisable due to the caffeine content, which can interfere with sleep.
B. Exercising vigorously close to bedtime can increase alertness and make it harder to fall asleep.
C. Eating a light carbohydrate snack before bedtime, such as a small amount of cereal or a slice of bread, can promote sleep as carbohydrates increase the availability of tryptophan, which is a precursor to serotonin and melatonin, both associated with sleep.
D. Taking a nap during the day might interfere with nighttime sleep if done too close to bedtime.

A. Logroll the client every 4 hr. B. Use trochanter rolls beside the client's legs. C. Place the client's arms at their side when turning them. D. Cross the client's ankles when lying supine.

Correct Answer is B

Explanation

A. Logrolling is used to turn clients with spinal injuries, not typically for general immobile clients, and performing it every 4 hours might not be necessary or appropriate.
B. Using trochanter rolls beside the client's legs helps maintain proper alignment and prevents external rotation, which can lead to hip joint complications.
C. Placing the client's arms at their side when turning might restrict movement and not aid in proper alignment or comfort.
D. Crossing the client's ankles when lying supine might cause pressure injuries or discomfort due to increased pressure on the ankles.

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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.)

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