Level: Advanced
Difficulty: Hard
Subtopic: Medication reconciliation
NCLEX: A 45-year-old client in the emergency department is being evaluated for transfer from another facility with multi…
Pharmacology Pharmacological and Parenteral Therapies
Case Study
A 45-year-old client in the emergency department is being evaluated for transfer from another facility with multiple home medications. Assessment data include the barcode scanner shows a medication-client mismatch at the bedside. Which nursing action is the priority to keep the client safe?
Question
A. Leave the client alone to promote independence while finishing charting.
B. Apply the first intervention in the policy manual without a current assessment.
C. Document the finding and recheck at the end of the shift without further assessment.
D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
B. Apply the first intervention in the policy manual without a current assessment.
C. Document the finding and recheck at the end of the shift without further assessment.
D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Rationale
Correct answer: D. Stay with the client, remove immediate hazards, reassess, and escalate per facility safety protocol.
Rationale: Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Client safety requires direct assessment, hazard reduction, and timely escalation rather than assumptions, abandonment, or policy-only actions.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.