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
Explanation
A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.
B. Enoxaparin should be injected subcutaneously, not into a muscle.
C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.
D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.
Correct Answer is A
Explanation
A. Acetaminophen is metabolized by the liver, and a history of alcohol use disorder increases the risk of hepatotoxicity. The nurse should notify the provider before administration.
B. A blood pressure of 92/60 mm Hg is low but not contraindicated for acetaminophen, which does not typically affect blood pressure.
C. Recurrent headaches may be a reason for acetaminophen use and are not a contraindication.
D. Hypothyroidism does not interact adversely with acetaminophen and does not require withholding the medication.
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