Exhibits

A nurse on an antepartum unit is caring for a client who is at 15 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

A. Assume the family does not have access to regular medical treatment. Assumptions can lead to misunderstandings and are not based on individualized assessment.
B. Offer the family basic financial advice when needed. While helpful, it is not the primary role of the nurse and should be done with appropriate referrals.
C. Learn about the family's culture prior to the assessment. Understanding the family's culture helps provide culturally competent care and improves communication and trust.
D. Avoid discussing the family's health practices. Discussing health practices is crucial for understanding and addressing the family's needs effectively.