A nurse is preparing a medication administration record (MAR) at the healthcare
facility. The nurse documents the client's name, medication name, dosage,
administration route, and scheduled times in the MAR.
Which is the most accurate way
to verify accuracy of the MAR?
A) Check with the client to see if he has been administered the medication
B) Perform an order sheet check just before medication administration
C) Record the trade name of the medication to promote accuracy
D) Compare the medication record with the original physician's order
D
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The nurse documents that a client's patellar reflex is a +4. This means the reflex is:
a. absent. b. present but diminished. c. normal. d. hyperactive with possible clonus.
The nurse updates the nursing care plan for a patient with amyotrophic lateral sclerosis who is uniquely prone to depression because:
1. nutritional intake is poor. 2. intellectual capacity is not affected. 3. mobility is limited. 4. communication is altered.
Which of the following represents a typical progression through the phases of a woman's establishing a relationship with the fetus?
1. Accepts fetus as distinct from herself—accepts biologic fact of pregnan-cy—feeling of caring and responsibility 2. Fantasies about child's sex and personality—views child as part of her-self—introspective 3. Views child as part of herself—feelings of well-being—accepts biologic fact of pregnancy 4. "I am pregnant"—"I am going to have a baby"—"I am going to be a mother"
The nurse understands that enoxaparin is frequently used for:
a. treatment of postmyocardial infarction clients. b. prevention of strokes in middle-aged males. c. prophylaxis for DVT in clients undergoing hip replacements. d. preoperative medication for angiographic procedures.