A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.
Which of the following actions should the nurse take?

Review the adverse effects of the medication with the client.

Compare the current and newly prescribed medications and note any discrepancies.

Send a list of the prescribed medications to the client's pharmacy.

Include the medications the client received during surgery on the client's medication list.

Answer and Explanation

The Correct Answer is B

Compare the current and newly prescribed medications and note any discrepancies.

During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.

Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.

Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.

Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.

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Correct Answer is D

Explanation

Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.

One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.

After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.

Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.

Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.

Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.

A. "Insert the entire length of the needle into the skin during injection.” B. "Massage the insertion site after injecting the medication.” C. "Grasp the skin between the thumb and forefinger while injecting the medication.” D. "Alternate injection sites between the sides of the abdomen.” E. "Expel the air bubble from the prefilled syringe.”

Correct Answer is ["A","C","D"]

Explanation

When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”

Choice B is wrong because the client should not massage the insertion site after injecting the medication.

Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.

The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.

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A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is D

Explanation

A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["A","C","D"]

Explanation

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A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility.
Which of the following actions should the nurse take?