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.)

At the end of the shift

When removing the medication from the medication drawer

Directly before administering the medication

When reconciling counts of controlled substances

When preparing the medication dosage

Answer and Explanation

Correct Answer : B,C,E

A. At the end of the shift is incorrect. Medication verification is done before administration, not at the end of the shift.

B. When removing the medication from the medication drawer is correct. This is the first check to ensure the correct medication is selected.

C. Directly before administering the medication is correct. This is the final check to verify that the correct medication, dose, route, and time match the prescription before giving it to the client.

D. When reconciling counts of controlled substances is incorrect. While controlled substances require counting and verification, this is separate from the three medication checks performed during administration.

E. When preparing the medication dosage is correct. This is the second check, ensuring that the correct medication and dose are prepared accurately before administration.

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Correct Answer is A

Explanation

A: The presence of an area rug over a tile floor poses a tripping hazard, which is particularly dangerous for individuals with osteoporosis due to the increased risk of fractures from falls. The rug can easily slip or edges can curl, leading to potential accidents. Therefore, it is crucial for the nurse to address this issue to prevent falls.

B: Grab bars in the shower are a safety feature that assists individuals in maintaining balance and preventing slips, which is beneficial for a person with osteoporosis. There is no need for intervention as this is a recommended safety measure.

C: Storing prescriptions in a medication organizer is a good practice as it helps ensure that medications are taken correctly and on time. This is especially important for older adults who may have multiple prescriptions. Thus, no intervention is needed here.

D: Setting the hot water heater to 47° C (117° F) can pose a risk of burns, especially for older adults whose skin may be more sensitive and who may have a delayed reaction to withdraw from hot surfaces. However, this is not directly related to osteoporosis, and while it is a safety concern, it is not as immediately hazardous as a tripping risk.

A. "I will avoid exposure to the sun." B. "I will decrease my intake of dairy products." C. "I will walk three times per week." D. "I will take 250 milligrams of calcium once per day."

Correct Answer is C

Explanation

A. Avoiding exposure to the sun might decrease vitamin D synthesis, which is necessary for calcium absorption.

B. Decreasing intake of dairy products may decrease calcium intake, which could increase the risk of osteoporosis.
C. Regular weight-bearing exercises like walking help maintain bone density and reduce the risk of osteoporosis.
D. A daily calcium intake of 250 milligrams might be insufficient for osteoporosis prevention; the recommended daily intake varies based on age and gender.

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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.)

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Naxlex Comprehensive Predictor Exams

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