A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?
Document the updated list and send it to the pharmacy.
Compile a list of all medications the client is currently taking
Compare preadmission medications to current medications.
Address any discrepancies between current medications and new prescriptions.
The Correct Answer is B
A. “Document the updated list and send it to the pharmacy”: While this is an important step in the medication reconciliation process, it is not the first step. The nurse must first have a complete and accurate list of all the medications the client is currently taking.
B. “Compile a list of all medications the client is currently taking”: This is the first step in the medication reconciliation process. The nurse needs to know all the medications the client is currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and any other substances. This list should include the name of each medication, the dose, the frequency, and the route of administration.
C. “Compare preadmission medications to current medications”: This is an important step in the medication reconciliation process, but it cannot be done until after the nurse has compiled a list of all medications the client is currently taking.
D. “Address any discrepancies between current medications and new prescriptions”: Addressing discrepancies is a crucial part of the medication reconciliation process, but it is not the first step. The nurse must first compile a list of all medications the client is currently taking, then compare this list to the client’s preadmission medications and any new prescriptions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Administer a dose of subcutaneous morphine”: Administering another opioid like morphine may not be the best course of action if the client is already showing signs of potential opioid toxicity such as restlessness and agitation.
B. “Administer a dose of subcutaneous naloxone”: Naloxone is an opioid antagonist used to reverse the effects of opioids, including potential side effects like restlessness and agitation. If the client’s symptoms are due to opioid toxicity, naloxone can help to reverse these symptoms.
C. “Administer a dose of IV fentanyl”: Administering more fentanyl, especially intravenously, could potentially exacerbate the client’s symptoms if they are due to opioid toxicity.
D. “Administer a dose of subcutaneous atropine”: Atropine is primarily used to treat certain types of bradycardia (slow heart rate), and is not typically used to manage symptoms of opioid toxicity like restlessness and agitation.
Correct Answer is A
Explanation
Answer: A. Reason
A. Reason
The prescription does not specify the reason for administering ondansetron, which is important for ensuring appropriate use. Clarifying the reason helps ensure the medication is used for the intended indication, such as nausea and vomiting due to chemotherapy, surgery, or other causes.
B. Route
The route is correctly specified as "by mouth," which is appropriate for ondansetron. There’s no need for clarification on this part.
C. Dose
The dose of 8 mg is a standard dose for ondansetron and does not require clarification.
D. Frequency
The frequency of "every 12 hr PRN" is clear, indicating that the medication can be taken every 12 hours as needed. This part does not need clarification.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.