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","B","C"]

Explanation

A. Placing the client in high Fowler's position helps improve lung expansion and oxygenation.
B. Administering oxygen helps address hypoxia and supports adequate oxygenation.
C. Stopping the transfusion is crucial when signs of a transfusion reaction are present.
D. Administering a diuretic is not typically indicated for transfusion reactions involving lung crackles, hypoxia, and distended neck veins.
E. Epinephrine is not typically used to manage a blood transfusion reaction; it's more for severe allergic reactions like anaphylaxis.

A. "If you work hard on your physical therapy, you won't need to worry." B. "You shouldn't worry about the future so you can concentrate on getting well." C. "You're concerned about what will happen when you leave the hospital." D. "Why are you concerned even though everyone is here to help you?"

Correct Answer is C

Explanation

A. Dismissing concerns by suggesting that they won't need to worry with physical therapy is not therapeutic. It invalidates the client's feelings.
B. Discouraging the client from worrying may seem dismissive of their emotions and concerns.
C. Acknowledging and reflecting the client's concern about the future demonstrates empathy and encourages further discussion.
D. Asking why the client is concerned might make them feel defensive and does not validate their emotions.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?

Correct Answer is C

Explanation

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