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. Supine in low-Fowler's position:Low-Fowler's position does not effectively promote postural drainage for left lower-lobe atelectasis. This position would not use gravity to facilitate mucus drainage or improve ventilation to the affected lobe.
B. Side-lying with the right side of the chest elevated:While side-lying positions can be useful for postural drainage, lying with the right side elevated does not optimize drainage from the left lower lobe.
C. Prone with pillows under the lower extremities:Although the prone position can help improve oxygenation in some respiratory conditions, it is not ideal for targeting left lower-lobe atelectasis in postural drainage therapy.
D. Right lateral in Trendelenburg position:In this position, the left lower lobe is elevated, allowing gravity to assist in draining secretions toward the larger airways for clearance. The Trendelenburg position further enhances the effect of gravity on secretion drainage from the lower lobe.
Correct Answer is C
Explanation
A. Grab bars are installed in the shower: Installing grab bars in the shower is a safety measure that helps prevent falls and assists the client in safely maneuvering in the bathroom. This finding indicates a safe environment and does not require intervention.
B. The hot water heater is set to 47°C (117°F): The hot water heater set at 47°C (117°F) poses a scalding risk, especially for older adults with decreased sensation or mobility issues. The recommended safe temperature for hot water heaters is typically below 49°C (120°F) to prevent burns. Therefore, the nurse should intervene to adjust the temperature to a safer level.
C. There is an area rug covering a tile floor.
Area rugs covering tile floors can pose a significant fall risk, especially for older adults with osteoporosis, who are more susceptible to fractures. The rug can slip or bunch up, leading to trips and falls. Therefore, the nurse should intervene to remove the area rug or secure it firmly to the floor to prevent accidents.
D. Prescriptions are stored in a medication organizer: Storing prescriptions in a medication organizer promotes medication adherence and organization, which is beneficial for older adults managing multiple medications. This finding indicates good medication management and does not require intervention.
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