A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

allergic reaction.

side effect.

toxic effect.

idiosyncratic reaction.

Answer and Explanation

The Correct Answer is A

A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.

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Correct Answer is A

Explanation

A. Medication reconciliation involves compiling a complete list of a patient's medications from all sources, including those from the LTC facility, to ensure continuity and accuracy of care.
B. Recommendations for prescribed medications are part of ongoing treatment planning, not specifically the reconciliation process.
C. Discontinuation of medications may occur after reconciliation but is not a primary step in the process.
D. Medications from another pharmacy should be included, but the nurse must focus on all current medications, primarily from the LTC facility for accurate reconciliation.

A. ask the patients their names B. ask another nurse about their identities C. check the patients' ID bands and patient information D. verify their names with the family members

Correct Answer is C

Explanation

A. Asking patients their names can help, but it is not the most reliable method, especially if patients are confused or unable to communicate.
B. Asking another nurse about their identities can introduce errors and is not a standard practice for patient identification.
C. Checking the patients' ID bands and patient information ensures accurate identification using multiple identifiers (e.g., name, birth date, medical record number), adhering to best practices for patient safety.
D. Verifying names with family members can be helpful but is not as reliable or standardized as checking ID bands and patient information.

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A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?

Correct Answer is A

Explanation

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

Correct Answer is C

Explanation

A nurse is assisting with teaching a client about a new medication. Which of the following actions should the nurse take?

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A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

A nurse is preparing to enter a prescription from a provider. Which of the following formats should the nurse use?

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should collect further data from the client before administering medication?

In order for the nurse to administer medication safely, the nurse must understand the 10 rights of safe medication administration. Identify all of the rights listed below (Select All That Apply).