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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Correct Answer is C
Explanation
Choice A reason:
The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.
Choice B reason:
Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.
Choice C reason:
Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.
Choice D reason:
Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.
Correct Answer is B
Explanation
Choice A reason: Hyperlipidemia
Hyperlipidemia, or high levels of lipids in the blood, can be a contributing factor to acute pancreatitis. Elevated triglycerides can lead to the development of pancreatitis, especially when levels exceed 1000 mg/dL. However, it is less common compared to gallstones and alcohol abuse as a cause of acute pancreatitis.
Choice B reason: Gallstones
Gallstones are one of the most common causes of acute pancreatitis. They can block the bile duct, leading to a buildup of pancreatic enzymes and subsequent inflammation of the pancreas. This condition, known as gallstone pancreatitis, accounts for a significant percentage of acute pancreatitis cases. Therefore, it is crucial for the nurse to inquire about a history of gallstones when assessing a client with acute pancreatitis.
Choice C reason: COPD
Chronic Obstructive Pulmonary Disease (COPD) is not directly related to the development of acute pancreatitis. While COPD is a significant chronic condition that affects the lungs, it does not have a known association with pancreatitis. Therefore, this factor is less relevant in the context of acute pancreatitis.
Choice D reason: Diabetes mellitus
Diabetes mellitus can be both a consequence and a risk factor for pancreatitis. Chronic pancreatitis can lead to diabetes due to the damage to insulin-producing cells in the pancreas. However, diabetes itself is not a common cause of acute pancreatitis. It is more relevant in the context of chronic pancreatitis and its complications.
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