A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?
A client who is transferred to a step-down unit
A client who has a consultation for physical therapy
A client who is transported to radiology
A client who has a referral for social services
The Correct Answer is A
A. Medication reconciliation should be performed when a client is transferred between units or care settings, such as a transfer to a step-down unit, to ensure that the correct medications are administered and there are no discrepancies.
B. Consultation for physical therapy does not require medication reconciliation.
C. Transport to radiology does not warrant medication reconciliation as there is no change in care setting or medications.
D. Referral for social services does not involve a change in medication orders and does not require medication reconciliation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. "My boyfriend should get this shot too.": The HPV vaccine is recommended for all adolescents, including males and females, typically starting at ages 11–12. Vaccinating boys helps prevent the spread of HPV and also protects them from genital warts and certain cancers.
B. "This shot will keep me from getting herpes.": The HPV vaccine does not protect against herpes simplex virus (HSV), which is a different sexually transmitted infection. This reflects a misunderstanding of what the vaccine prevents.
C. "I need to come back in 2 months for another shot.": For adolescents starting the HPV vaccine at age 15 or older, three doses are required. The second dose is given 1–2 months after the first. This statement reflects accurate understanding of the dosing schedule.
D. "I need to have a blood test when I'm an adult to see if I'm still immune.": No routine blood test is used to check immunity to HPV. Immunity is assumed after completing the vaccine series.
E. "This shot can keep me from getting some kinds of cancer.": The HPV vaccine protects against strains of the virus that are linked to cervical, vaginal, vulvar, anal, penile, and oropharyngeal cancers.
F. "Now I won't need to worry about having Pap smears.": Pap smears are still required for cervical cancer screening even after HPV vaccination. The vaccine doesn't protect against all cancer-causing strains.
G. "I will need a booster shot every 10 years.": Current guidelines do not recommend booster doses of the HPV vaccine after completing the initial series.
Correct Answer is A
Explanation
A. Medication reconciliation should be performed when a client is transferred between units or care settings, such as a transfer to a step-down unit, to ensure that the correct medications are administered and there are no discrepancies.
B. Consultation for physical therapy does not require medication reconciliation.
C. Transport to radiology does not warrant medication reconciliation as there is no change in care setting or medications.
D. Referral for social services does not involve a change in medication orders and does not require medication reconciliation.
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