An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left hip replacement. When reviewing the client's prescribed medications, which intervention should the nurse implement first?

Reconcile prescribed medication dosages with the published recommended dosage ranges.

Compare admission prescriptions with the list of medications previously taken by the client.

Determine which medications may be given in generic form rather than brand name only.

Provide client teaching regarding the desired effects of the client's admission prescriptions.

Answer and Explanation

The Correct Answer is B

A.   Reconciling medication dosages is important but comes after verifying the accuracy of the prescriptions.
B.   Comparing admission prescriptions with the client's previous medication list ensures continuity of care and prevents omissions or duplications.
C.   Determining generic versus brand name medications can be addressed later after ensuring medication accuracy.
D.   Client teaching is important but should follow the verification of the client's current medications.

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Correct Answer is D

Explanation

A. Threatening the child with a shot may create anxiety and fear, making cooperation even more challenging.
B. Hiding medication in food without the child's knowledge can lead to mistrust and may not be safe, as the child may not consume the entire dose.
C. Misleading the child about the nature of the medication is not appropriate. It can lead to confusion and mistrust when the child realizes that it is not candy.

D. Providing choices empowers the child and makes the process of taking medication less intimidating. It also helps in engaging the child in their own care, making them feel more in control.

A. Remind the UAP to continue rubbing the hands together until they are dry. B. Instruct the UAP to return to the client's room to perform handwashing. C. Supervise the UAP in the next client's room to evaluate hand hygiene. D. Advise the UAP to wear gloves when obtaining vital signs for all clients.

Correct Answer is A

Explanation

A. Reminding the UAP to continue rubbing the hands together until they are dry ensures proper use of the hand rub, which is effective when fully dry.
B. Handwashing with soap and water is necessary after certain activities (e.g., after using the restroom, or when hands are visibly soiled), but using an alcohol-based hand rub is appropriate for routine hand hygiene.
C. Supervising in the next client's room is less direct and immediate than ensuring proper technique now.
D. Wearing gloves for all clients is not necessary and does not replace proper hand hygiene.

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An older client is being admitted to a rehabilitation unit from a medical-surgical unit following a left hip replacement. When reviewing the client's prescribed medications, which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation?

Correct Answer is D

Explanation

The nurse observes an unlicensed assistive personnel (UAP) applying an alcohol-based hand rub while leaving a client's room after taking vital signs. Which action should the nurse take?

Correct Answer is A

Explanation

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