A nurse is obtaining a medication history from a client who is admitted for pneumonia. Which of the following sources should the nurse use to verify the client's home medications? (Select all that apply.)
The client's primary care provider
The client's pharmacy records
The client's medication bottles
The client's spouse or caregiver
The client's previous admission records
Correct Answer : A,B,C,D
A) Correct. The client's primary care provider can provide accurate information about the client's current prescriptions and any changes made recently.
B) Correct. The client's pharmacy records can show what medications the client has filled and when, which can help identify adherence issues or discrepancies.
C) Correct. The client's medication bottles can provide information about the name, dose, frequency, and expiration date of the medications, as well as any special instructions or warnings.
D) Correct. The client's spouse or caregiver can provide additional information about the client's medication use, especially if the client has cognitive impairment or difficulty managing their own medications.
E) Incorrect. The client's previous admission records may not reflect the current medication regimen, as changes may have occurred since then.
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Correct Answer is C
Explanation
C) Correct. The client's medication bottles brought from home are the most reliable source of information for obtaining an accurate medication history, as they contain the name, dose, frequency, and expiration date of each medication. The bottles can also be used to verify the client's verbal report and other sources of information.
A) Incorrect. The client's verbal report of their medications and doses may not be accurate, as the client may forget, omit, or confuse some medications or doses. The verbal report should be confirmed with other sources of information, such as medication bottles or lists.
B) Incorrect. The client's medication list from their primary care provider may not be up to date, as the client may have changed, discontinued, or added some medications since their last visit. The medication list should be compared with other sources of information, such as medication bottles or verbal report.
D) Incorrect. The client's electronic health record from another facility may not reflect the current medications that the client is taking, as the facility may have different policies, protocols, or formularies than the admitting hospital. The electronic health record should be supplemented with other sources of information, such as medication bottles or lists.
Correct Answer is D
Explanation
D) Correct. All of the information listed are essential for the safe and effective use of insulin therapy. The nurse should educate the client on how to administer each insulin type, how to store and dispose of each insulin vial, how to select and rotate injection sites, and how to monitor their blood glucose levels and adjust their doses accordingly.
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