Level: Advanced
Difficulty: Hard
Subtopic: Alarm safety
NCLEX: A bedside nurse using barcode medication administration is being evaluated for technology-supported nursing care…
Informatics and healthcare technology Management of Care
Case Study
A bedside nurse using barcode medication administration is being evaluated for technology-supported nursing care and alarm safety. Assessment data include the barcode scanner displays a medication-client mismatch at the bedside. Which finding requires the nurse to intervene immediately?
Question
A. A stable, long-standing finding that matches the expected care plan.
B. A comfort request with unchanged vital signs and no new symptoms.
C. Routine data unchanged from the prior assessment.
D. The new finding that the barcode scanner displays a medication-client mismatch at the bedside.
B. A comfort request with unchanged vital signs and no new symptoms.
C. Routine data unchanged from the prior assessment.
D. The new finding that the barcode scanner displays a medication-client mismatch at the bedside.
Rationale
Correct answer: D. The new finding that the barcode scanner displays a medication-client mismatch at the bedside.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.