A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Consult the pharmacist about the client's prescribed medications.

Call the provider to clarify the client's prescribed medications.

Compare the client's medication administration record with the prescriptions on the transfer orders.

Review the intended purpose of the prescribed medications with the client.

Answer and Explanation

The Correct Answer is C

A.   Consult the pharmacist about the client's prescribed medications: While consulting the pharmacist may provide valuable information about the medications, it may not be the first action to take in this scenario.
B.   Call the provider to clarify the client's prescribed medications: While it may be necessary to clarify the client's medications with the provider, it may not be the first action to take, especially if there are discrepancies in the documentation.
C.   Compare the client's medication administration record with the prescriptions on the transfer orders: This is the correct answer. Comparing the client's medication administration record with the prescriptions on the transfer orders can help identify any discrepancies or errors in medication administration, ensuring patient safety and adherence to prescribed therapy.
D.   Review the intended purpose of the prescribed medications with the client: While reviewing the intended purpose of the medications with the client is important for informed decision-making, it may not be the first action to take if there are concerns about the accuracy or appropriateness of the prescribed medications.

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Correct Answer is C

Explanation

A. Obtains client intake and output instead of delegating the task to an assistive personnel: While it may demonstrate initiative, effective time management involves delegating appropriate tasks to assistive personnel to maximize efficiency.
B. Skips lunch to catch up on client documentation: Skipping meals is not a sustainable or healthy time management strategy and may indicate poor self-care practices.
C. Reviews a client's medical record before performing a prescribed dressing change: This is the correct answer. Reviewing the client's medical record before performing a procedure ensures that the nurse is well-prepared and can perform the task efficiently and safely.
D. Documents medications administered throughout the shift at the end of the day: Documenting medications at the end of the day may lead to inaccuracies and delays in care. Timely and accurate documentation is essential for effective patient care.

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor B. A client who has gestational diabetes and is receiving biweekly nonstress tests C. A client who is at 32 weeks of gestation and has premature rupture of membranes D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Correct Answer is D

Explanation

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor: This client has a complex medical condition and requires specialized obstetric care.
B. A client who has gestational diabetes and is receiving biweekly nonstress tests: This client requires routine antenatal monitoring, which may be within the scope of practice of an RN with experience in obstetrics.
C. A client who is at 32 weeks of gestation and has premature rupture of membranes: This client has a high-risk pregnancy complication and requires specialized obstetric care.
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump: This is the correct answer. This client has recently undergone surgery and has a patient- controlled analgesia (PCA) pump, indicating a need for postoperative care, pain management, and monitoring, which aligns with the skills of a medical-surgical nurse.

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A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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