A nurse educator is teaching a class about medication reconciliation. Which of the following information should the nurse educator include in the teaching?
Provide a list of the client’s current medications during the change of shift report.
Do not perform reconciliation for a client at discharge from a health care facility.
Provide a list of the client’s current medications during admission to a health care facility.
Include only prescription medications in the medication reconciliation report.
The Correct Answer is C
Choice A reason:
Providing a list of the client’s current medications during the change of shift report is important for continuity of care, but it is not the primary focus of medication reconciliation. Medication reconciliation aims to ensure accuracy of the medication list at key transition points, such as admission, transfer, and discharge.
Choice B reason:
Not performing reconciliation for a client at discharge from a health care facility is incorrect. Medication reconciliation is crucial at discharge to ensure that the patient leaves with an accurate and complete list of medications, which helps prevent medication errors and adverse drug events.
Choice C reason:
Providing a list of the client’s current medications during admission to a health care facility is a key component of medication reconciliation. This process involves comparing the patient’s current medications with the new medications ordered upon admission to identify and resolve any discrepancies. This helps ensure that the patient receives the correct medications throughout their stay.
Choice D reason:
Including only prescription medications in the medication reconciliation report is insufficient. The reconciliation process should include all medications the patient is taking, including over-the-counter drugs, supplements, and herbal remedies. This comprehensive approach helps identify potential interactions and ensures safe medication management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The statement “Rinse mouth 2 times per day with an alcohol-based mouthwash” is incorrect. Methotrexate can cause mouth sores and irritation, and using an alcohol-based mouthwash can exacerbate these symptoms. Instead, patients are often advised to use a non-alcoholic mouthwash or a saline rinse to help prevent and soothe mouth sores.
Choice B reason:
The statement “Take the medication with an NSAID” is incorrect. Methotrexate should not be taken with nonsteroidal anti-inflammatory drugs (NSAIDs) without medical supervision because this combination can increase the risk of severe side effects, including bone marrow suppression and gastrointestinal toxicity. Patients should always consult their healthcare provider before combining these medications.
Choice C reason:
The statement “Take an antiemetic 1 hour following administration” is not standard advice for methotrexate. While methotrexate can cause nausea, antiemetics are typically taken before or at the same time as the methotrexate dose to prevent nausea, not after. Patients should follow their healthcare provider’s instructions regarding the timing of antiemetics.
Choice D reason:
The statement “Drink 2 to 3 liters of water per day” is correct. Methotrexate can cause kidney damage, and staying well-hydrated helps to prevent this by promoting the excretion of the drug and reducing its concentration in the kidneys. Drinking plenty of fluids is an important part of managing methotrexate therapy safely.
Correct Answer is D
Explanation
Choice A reason: Increased urinary output is not a typical manifestation of peritonitis. Peritonitis, especially in the context of peritoneal dialysis, does not usually affect urinary output directly. Instead, it primarily affects the peritoneal cavity and can lead to symptoms such as abdominal pain and tenderness.
Choice B reason: Hyperactive bowel sounds are not commonly associated with peritonitis. In fact, peritonitis can lead to decreased bowel sounds due to the inflammation and irritation of the peritoneum, which can cause paralytic ileus (a temporary cessation of bowel movements).
Choice C reason: Bradycardia (a slower than normal heart rate) is not a typical symptom of peritonitis. Peritonitis can cause systemic symptoms such as fever and tachycardia (an increased heart rate) due to the body’s inflammatory response to infection.
Choice D reason: Nausea and vomiting are common manifestations of peritonitis. The inflammation of the peritoneum can irritate the gastrointestinal tract, leading to these symptoms. Additionally, peritonitis can cause abdominal pain, tenderness, and distention, which are also associated with nausea and vomiting.
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