The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

assessing the patient for a history of drug-related allergies

educating patients about the purpose and side efforts of their medications

confirming the patients identity prior to providing the medication

implementing the 5 rights of medication administration routinely

Answer and Explanation

The Correct Answer is D

A.   Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B.   Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C.   Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D.   The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A. The patient's mental status is crucial for understanding their current cognitive and emotional condition. This information helps the incoming nurse assess whether there have been any changes or concerns regarding the patient's orientation, mood, or cognitive function.
B. Documenting all pertinent nursing care provides a comprehensive overview of what has been done for the patient during the shift, including any treatments, medications administered, and changes in the patient's condition.
C. While knowing who visited the patient might be relevant in some contexts, it is generally not a core component of clinical shift reports unless the visitors' presence impacted patient care or the patient’s condition. This information is usually not necessary for the shift report unless it directly affects the
patient’s care or treatment, such as if a visitor brought important information or had a significant impact on the patient.

D. The status of lung sounds is a specific aspect of the patient's physical assessment and can indicate respiratory issues or improvements. This data is necessary if the patient has a respiratory condition or if there have been recent changes in their respiratory status. It helps the incoming nurse evaluate the effectiveness of treatments and ongoing respiratory care.
E. Information about the patient's favorite TV shows is not relevant to clinical care and does not impact
the patient’s health status or the nursing interventions required. This information is not necessary for
the shift report as it does not contribute to the patient’s medical or care needs.

A. Check facility policies and contact the hospital social worker B. Allow the family to pray with the patient then escort them to the waiting room C. Call the police who can force the family to accept medical care D. Call security to keep the family from interfering with medical care

Correct Answer is A

Explanation

A. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What data are necessary to compile an effective end-of-shift report? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

Correct Answer is A

Explanation

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

What is the name of the licensing law that defines the title and regulations governing the practice of nursing and states the requirements for licensure?

An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

The nurse is caring for an older adult who reports severe chronic pain. To best assess age- related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?

During a home visit, a nurse is assessing the nutritional awareness of an older adult patient who lives alone. The nurse is most effective in obtaining objective information when: