A nurse on a medical-surgical unit is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
Compare the medication label to the provider’s prescription on three occasions before administration.
Compare the client’s list of home medications to the admission prescriptions written for the client.
Administer medications to treat a condition to the actual prescriptions.
Ensure the medication is administered within 3 hours of the scheduled time.
The Correct Answer is B
Choice A reason: Comparing the medication label to the provider’s prescription three times is a safety step during administration, not reconciliation. Reconciliation verifies the client’s home medications against new orders to prevent errors like omissions or duplications. This action occurs post-reconciliation, focusing on administration accuracy, not the initial verification of the medication list.
Choice B reason: Medication reconciliation involves comparing the client’s home medication list to admission prescriptions to ensure continuity and accuracy. This process identifies discrepancies, such as missed medications or incorrect doses, preventing adverse drug events. It requires verifying with the client or family and cross-checking provider orders, making it the cornerstone of safe transitions in care settings.
Choice C reason: Administering medications to treat a condition to the actual prescriptions is unclear and not part of reconciliation. Reconciliation focuses on verifying and documenting medications, not administering them. This option does not align with the systematic process of ensuring all medications are correctly prescribed upon admission, making it incorrect.
Choice D reason: Ensuring administration within 3 hours of the scheduled time relates to medication administration protocols, not reconciliation. Reconciliation verifies the accuracy of the medication list before administration. This step is about timing, not the verification process critical to preventing errors during care transitions, rendering it irrelevant to the task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Abdominal pain is a hallmark of ectopic pregnancy, where the embryo implants outside the uterus, often in the fallopian tube. Tissue stretching or rupture causes localized pain, driven by tubal irritation or internal bleeding, requiring urgent evaluation to prevent life-threatening hemorrhage in affected clients.
Choice B reason: Hydramnios, excessive amniotic fluid, occurs in intrauterine pregnancies, not ectopic ones, which lack a uterine gestational sac. Ectopic pregnancies cannot produce amniotic fluid, as implantation occurs outside the uterus, making hydramnios an irrelevant finding in this condition’s pathophysiology.
Choice C reason: Profuse vaginal bleeding is uncommon in ectopic pregnancy, which typically causes spotting or mild bleeding. Heavy bleeding suggests miscarriage or other conditions. Ectopic pregnancies cause internal bleeding, leading to abdominal pain, not profuse vaginal hemorrhage, a key diagnostic distinction.
Choice D reason: Elevated blood pressure is not typical in ectopic pregnancy unless complicated by pain-induced stress or shock. Internal bleeding from ectopic rupture often lowers blood pressure due to hypovolemia, making hypertension an unlikely finding compared to the expected abdominal pain presentation.
Correct Answer is D
Explanation
Choice A reason: Ritualistic behavior is linked to obsessive-compulsive personality disorder, not narcissistic personality disorder (NPD). NPD involves self-focused grandiosity, not repetitive rituals driven by anxiety. These distinct psychological mechanisms make ritualistic behavior an unlikely finding in clients with NPD during assessment.
Choice B reason: Suspiciousness is characteristic of paranoid personality disorder, not NPD. While NPD clients may distrust due to ego threats, this is secondary to their grandiose self-view. Suspicion is not a core NPD trait, as their focus is on admiration, not pervasive mistrust.
Choice C reason: Preoccupation with aging is not a primary NPD feature. NPD clients focus on idealized self-image, but aging fears are more tied to body dysmorphic disorder or general anxiety. This preoccupation is not a diagnostic criterion for NPD in psychological assessments.
Choice D reason: A grandiose sense of self is a core NPD feature, marked by exaggerated self-importance and entitlement. Driven by fragile self-esteem, this trait leads to behaviors like boasting, as defined in DSM-5 criteria, making it an expected finding during assessment of NPD clients.
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