The total number of beads that Lexi could accommodate based on the on hand items is 101 beads. Subtract the number of beads she needs which is 144 beads with 101 beads. The amount of beads that would need a box is 43 beads. Since a medium box could only accommodate 10 beads at a time, divide 43 with 10 and the answer would be 4 remainder 3. Thus Lexi would only need 4 medium boxes.