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A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation

The nurse who performs medication reconciliation is demonstrating the ethical principal of veracity:

The International Council of Nurses Code of Ethics stipulates that the nurse performs medication reconciliation when a client is admitted to a facility, is transferred to another facility, and when a client is discharged from a facility

The purpose of medication reconciliation is to prevent adverse medication reactions

Answer and Explanation

The Correct Answer is D

Answer: D

Rationale:

A. The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation: The American Hospital Association does advocate for medication reconciliation as part of safety protocols, but the primary focus of medication reconciliation is not solely based on AHA requirements. It is more about improving patient safety and preventing errors.

B. The nurse who performs medication reconciliation is demonstrating the ethical principle of veracity: While medication reconciliation involves accurate and truthful communication, it primarily serves to ensure safety and accuracy in medication management rather than directly demonstrating the ethical principle of veracity.

C. The International Council of Nurses Code of Ethics stipulates that the nurse performs medication reconciliation when a client is admitted to a facility, is transferred to another facility, and when a client is discharged from a facility: Although medication reconciliation is crucial at these points of care transition, the International Council of Nurses Code of Ethics does not explicitly mandate this process.

D. The purpose of medication reconciliation is to prevent adverse medication reactions: Medication reconciliation aims to ensure accurate medication lists and prevent errors, which in turn helps prevent adverse medication reactions. This aligns with the primary goal of the process, which is to enhance medication safety.

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Correct Answer is D

Explanation

A. Complete an incident report: While completing an incident report is important for documentation purposes, it should not be the first action taken after a needle stick injury. Immediate attention to the wound by washing it with soap and water takes precedence to minimize the risk of infection.
B. Consent to postexposure treatment with antiretroviral medications: Postexposure prophylaxis (PEP) with antiretroviral medications may be indicated after a needle stick injury, particularly if there is a risk of exposure to HIV or other bloodborne pathogens. However, obtaining consent for PEP should follow immediate wound care.
C. Request the risk manager obtain consent for HIV testing from the client: While HIV testing may be necessary for the client involved in the incident, it is not the nurse's responsibility to obtain consent for testing. The priority is to address the nurse's own immediate health and safety by cleaning the wound and seeking appropriate medical evaluation and treatment.
D. Wash the site of injury with soap and water: The first action the nurse should take after experiencing a needle stick injury is to immediately wash the site of the injury with soap and water. This helps reduce the risk of infection by removing any potentially infectious material from the wound.

A. Radial vein in the wrist B. Median vein in the forearm C. Dorsal metacarpal vein D. Ante-cubital vein

Correct Answer is B

Explanation

Answer: B

Rationale:

A. Radial vein in the wrist: The radial vein is not commonly used for IV catheter insertion due to its location and size. The wrist veins can be smaller and more difficult to cannulate compared to veins in the forearm or antecubital area.

B. Median vein in the forearm: The median vein in the forearm is a preferred site for IV catheter insertion in older adults. It is generally more accessible and less prone to complications than veins in the hand or wrist, making it a suitable choice for stable, longer-term access.

C. Dorsal metacarpal vein: While the dorsal metacarpal veins on the hand can be used for IV insertion, they are typically smaller and more difficult to access than veins in the forearm. Additionally, veins in the hand can be more prone to irritation and complications.

D. Ante-cubital vein: The antecubital vein (such as the median cubital vein) is a good site for IV insertion due to its size and accessibility, especially for larger gauge catheters or when longer-term access is needed. However, it is often preferred for more acute situations rather than routine outpatient procedures.

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A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse cake first?

Correct Answer is D

Explanation

A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select?

Correct Answer is B

Explanation

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