A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
When preparing the medication dosage
When reconciling counts of controlled substances
At the end of the shift
When removing the medication from the medication drawer
Directly before administering the medication
Correct Answer : A,D,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Giving the client's medications between meals:
Administering medications between meals does not address the risk of aspiration associated with dysphagia. Moreover, timing of medication administration in relation to meals may vary depending on the specific medication requirements.
B. Assisting the client into semi-Fowler's position:
While positioning can play a role in facilitating swallowing, semi-Fowler's position alone may not be sufficient to address the risk of aspiration in clients with dysphagia. Moreover, simply positioning the client without considering other factors may not ensure safe medication administration.
C. Encouraging the client to use a straw to take the medication:
Using a straw might not be appropriate for clients with dysphagia as it can increase the risk of aspiration, especially if the client has difficulty controlling the flow of liquid or coordinating swallowing movements.
D. Administer the client's medications one at a time.
Dysphagia refers to difficulty in swallowing, which can increase the risk of choking or aspiration. Administering medications one at a time ensures that each pill is swallowed safely and reduces the risk of aspiration. It allows the nurse to closely monitor the client's ability to swallow each medication and intervene if necessary.
Correct Answer is A
Explanation
A. Asking the family if they wish to assist in washing the client's body:
This is an important first step because it respects the family's cultural or religious practices and allows them to participate in the care of their loved one if they choose. It sets the tone for sensitive and respectful postmortem care.
B. Removing the client's dentures for their family to keep:
Dentures are usually leftin the mouth tomaintain facial shape.However, this action is not the first priority.
C. Leaving the client's eyes open until the family views the body:
It is generally recommended to gently close the client's eyes after death as part of the postmortem care process. Leaving the eyes open might be distressing for the family, so this action should not be performed first.
D. Turn overhead lights to a bright setting.
Bright lighting may not be comforting for the family or create a peaceful environment. Dim or soft lighting is usually preferred to create a calming atmosphere during this sensitive time. Therefore, this is not the first action the nurse should take.
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