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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
Step 1: Determine the total daily dose of lansoprazole.
- Total daily dose = 30 mg
Step 2: Determine the amount of lansoprazole available per tablet.
- Each tablet = 10 mg
Step 3: Calculate the number of tablets needed per dose.
- Number of tablets per dose = 30 mg ÷ 10 mg
- Number of tablets per dose = (30 ÷ 10)
- Number of tablets per dose = 3
Step 4: Round the answer to the nearest whole number.
- Rounded number of tablets per dose = 3 (no rounding needed) So, the nurse should administer 3 tablets per dose.
Correct Answer is A
Explanation
Choice A reason: Adopting a neutral attitude when providing care is essential for building trust with a client who is suspicious. A neutral attitude helps the nurse remain professional and non-threatening, which can make the client feel safer and more comfortable. This approach avoids overwhelming the client with excessive friendliness or personal disclosure, which might increase their suspicion.
Choice B reason: Waiting for the client to initiate interaction is not the best approach. Clients who are suspicious may not feel comfortable initiating interactions, and this could lead to a lack of communication and trust. The nurse should take the initiative to engage with the client in a calm and respectful manner.
Choice C reason: Disclosing some personal information to the client to demonstrate approachability can be counterproductive with a suspicious client. Sharing personal information might be perceived as intrusive or manipulative, which could increase the client’s distrust. Maintaining professional boundaries is crucial.
Choice D reason: Approaching the client frequently throughout the day for brief interactions might overwhelm a suspicious client. While regular interactions are important, they should be balanced and not too frequent to avoid making the client feel pressured or monitored.
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