A nurse is admitting a client to a medical-surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take?
Include any adverse effects of the medications the client might develop.
Exclude nutritional supplements from the list of medications the client reports.
Encourage the client to make his own list after he returns to his home.
Compare new prescriptions with the list of medications the client reports.
The Correct Answer is D
A. Incorrect. While adverse effects are important to consider, the primary purpose of medication reconciliation is to ensure accurate and up-to-date medication information.
B. Incorrect. Nutritional supplements and over-the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of the client's medication regimen.
C. Incorrect. The nurse is responsible for accurately reconciling the client's medications during the admission process. Encouraging the client to create a list later may lead to inaccuracies.
D. Correct. Comparing new prescriptions with the client's reported medication list helps identify any discrepancies or potential interactions, ensuring safe and effective medication administration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B,C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
A. Wheezes - Latex Allergy. Wheezing is often associated with allergic reactions, including latex allergy. Latex allergy can cause airway constriction and result in wheezing.
B. Tachycardia - All Thr ee Conditions (Malignant Hyperthermia, Latex Allergy, Hypovolemic Shock). Tachycardia can be a common response to stress or physiological changes. In malignant hyperthermia, tachycardia can occur due to the hypermetabolic state. Latex allergy can cause an anaphylactic reaction leading to tachycardia. In hypovolemic shock, the heart rate increases to compensate for decreased blood volume.
C. Urticaria - Latex Allergy. Urticaria (hives) is a classic sign of an allergic reaction, including latex allergy.
D. Hypercapnia - Malignant Hyperthermia. Hypercapnia (elevated levels of carbon dioxide in the blood) can be a sign of malignant hyperthermia due to increased muscle metabolism and metabolic acidosis.
E. Muscle Rigidity - Malignant Hyperthermia. Muscle rigidity is a hallmark sign of malignant hyperthermia, a rare but potentially life-threatening reaction to certain medications used during anesthesia.
Correct Answer is D
Explanation
A.Induration after a Mantoux test is a common response and does not necessarily require follow-up care.
B.A potassium level of 3.6 mEq/L is within the normal range (3.5-5.0 mEq/L).
C.Sodium phosphate is commonly used for bowel preparation before procedures like colonoscopy.
D.Correct. An INR of 1.8 for a client on warfarin is below the therapeutic range (usually 2.0- 3.0 for most indications), indicating that the client's blood may not be adequately anticoagulated. This requires follow-up to adjust the warfarin dose.
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