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 C
Explanation
A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.
B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.
C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.
D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.
Correct Answer is B
Explanation
A. A vein in the dominant arm can be used, but it is not necessarily the best choice for a re-insertion.
B. A vein proximal to the previous site is the best option to avoid using the same vein where complications (e.g., infiltration, thrombosis) have occurred.
C. A vein that feels hard to the touch may indicate previous injury or sclerosis, making it unsuitable for insertion.
D. The wrist vein is less ideal because it is smaller and more difficult to access compared to veins in the forearm.
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