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A nurse is conducting a class on medication reconciliation. What information should the nurse include in the teaching?,What information should be included in medication reconciliation teaching?
- A. Provide a list of the client's current medications during the change of shift report.
- B. Do not include over-the-counter medications in the medication reconciliation report.
- C. Do not perform reconciliation for a client at discharge from a health care facility.
- D. Provide a list of the client's current medications during admission to a health care facility.
Correct Answer: D
Rationale: The correct answer is D: Provide a list of the client's current medications during admission to a health care facility. This is essential in medication reconciliation to ensure that the healthcare team has accurate information about the client's current medications to prevent medication errors. During admission, it is crucial to compare the client's current medication list with the medications prescribed by the healthcare facility to identify any discrepancies. This information is vital for safe and effective care delivery.
Incorrect choices:
A: Providing a list of the client's current medications during the change of shift report is important but not specific to medication reconciliation during admission.
B: Over-the-counter medications should be included in the medication reconciliation report as they can interact with prescription medications.
C: Medication reconciliation should be performed at discharge to ensure a smooth transition of care and prevent medication discrepancies at home.
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A nurse is preparing to infuse ampicillin and gentamicin sulfate intravenously. Which resource should the nurse first consult for information on medication compatibility? Which resource should the nurse consult for compatibility?
- A. Hospital pharmacist
- B. Health care provider
- C. Medication sales representative
- D. Nurse manager
Correct Answer: A
Rationale: The correct answer is A: Hospital pharmacist. The pharmacist is the most appropriate resource for medication compatibility information because they have the expertise in drug interactions, contraindications, and compatibility issues. Pharmacists can provide detailed information on how ampicillin and gentamicin sulfate interact when given together intravenously. Consulting a pharmacist ensures patient safety by preventing potential adverse drug reactions. Health care providers may not have detailed knowledge of medication compatibility. Medication sales representatives may have biased information and limited expertise. Nurse managers are not typically trained in pharmacology and drug interactions. Consulting the hospital pharmacist is the best course of action to ensure safe administration of medications.
A nurse is caring for a preschooler. Which of the following findings should the nurse report to the healthcare provider immediately? Which finding in a preschooler should the nurse report immediately?
- A. Platelet count.
- B. Emesis.
- C. Absolute neutrophil count.
- D. Loss of appetite.
Correct Answer: C
Rationale: The correct answer is C: Absolute neutrophil count. Neutrophils are key components of the immune system, and a low absolute neutrophil count can indicate an increased risk of infection. In preschoolers, any significant deviation from the normal range should be reported promptly to the healthcare provider to prevent serious complications. Platelet count (A) may indicate bleeding disorders but is not as urgent as a low neutrophil count. Emesis (B) and loss of appetite (D) are common in preschoolers and may not be immediate concerns unless persistent or severe. Reporting a low absolute neutrophil count is crucial for timely intervention and management.
A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze. In what sequence should the nurse perform the following steps when pouring the sterile solution? In what sequence should the nurse pour sterile solution?
- A. Pick up the bottle with the label facing the palm.
- B. Pour the solution onto the gauze.
- C. Pour 1 to 2 mL into a receptacle.
- D. Perform hand hygiene.
- E. Place the bottle cap face-up on a clean surface.
- F. Remove the bottle cap.
Correct Answer: D,A,F,C,E,B
Rationale: The correct sequence is D, A, F, C, E, B.
1. Perform hand hygiene to ensure cleanliness.
2. Pick up the bottle with the label facing the palm to maintain sterility.
3. Remove the bottle cap to prepare for pouring.
4. Pour 1 to 2 mL into a receptacle to ensure proper amount.
5. Place the bottle cap face-up on a clean surface to prevent contamination.
6. Pour the solution onto the gauze for the sterile procedure to be completed.
Incorrect choices:
- G: It is not a step in the process of pouring sterile solution.
- The correct order ensures sterility, proper amount, and prevention of contamination.
A nurse is caring for a patient and notices that the patient's urine is dark amber, cloudy, and has an unpleasant odor. Which of the following conditions should the nurse associate these findings with? Which condition is associated with dark, cloudy, odorous urine?
- A. Urinary retention
- B. Urinary incontinence
- C. Urinary tract infection
- D. Urinary frequency
Correct Answer: C
Rationale: The correct answer is C: Urinary tract infection (UTI). Dark amber, cloudy, and odorous urine are common indicators of a UTI. The dark amber color may suggest the presence of blood or concentrated urine due to the infection. Cloudiness can result from the presence of bacteria, white blood cells, or other particles in the urine. The unpleasant odor is often caused by the presence of bacteria breaking down waste products in the urine. Urinary retention (A) usually presents with difficulty emptying the bladder, not changes in urine appearance. Urinary incontinence (B) refers to involuntary leakage of urine and is not typically associated with changes in urine characteristics. Urinary frequency (D) involves frequent urination but does not necessarily cause changes in urine appearance.
A nurse in the emergency department is attending to a patient exhibiting symptoms of a myocardial infarction. Which of the following actions should the nurse prioritize? Which action should the nurse prioritize for myocardial infarction?
- A. Initiate oxygen therapy.
- B. Obtain a blood sample.
- C. Attach the leads for a 12-lead ECG.
- D. Insert an IV catheter.
Correct Answer: A
Rationale: The correct answer is A: Initiate oxygen therapy. In a myocardial infarction, the priority is to ensure adequate oxygen supply to the heart muscle to prevent further damage. Oxygen therapy helps increase oxygen delivery to the heart, reducing the workload on the heart muscle. This action can potentially limit the size of the infarction and improve the patient's outcome. Obtaining a blood sample (B) can provide valuable information but is not as urgent as ensuring oxygen supply. Attaching leads for a 12-lead ECG (C) is important for diagnosing the myocardial infarction but does not directly address the immediate need for oxygen. Inserting an IV catheter (D) may be necessary for administering medications, but oxygen therapy takes precedence in this situation.