A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care (LTC) facility. Which of the following should the nurse identify as part of the medication reconciliation process?
Medications from the LTC facility
Recommendation for prescribed medications
Discontinuation of medications
Medications for another pharmacy
The Correct Answer is A
A. Medication reconciliation involves compiling a complete list of a patient's medications from all sources, including those from the LTC facility, to ensure continuity and accuracy of care.
B. Recommendations for prescribed medications are part of ongoing treatment planning, not specifically the reconciliation process.
C. Discontinuation of medications may occur after reconciliation but is not a primary step in the process.
D. Medications from another pharmacy should be included, but the nurse must focus on all current medications, primarily from the LTC facility for accurate reconciliation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Anemia is not a common adverse effect of atenolol, a beta-blocker primarily affecting heart rate and blood pressure.
B. Bradycardia (slow heart rate) is a known adverse effect of atenolol due to its action of slowing the heart rate to manage hypertension and other cardiac conditions.
C. Neutropenia (low neutrophil count) is not typically associated with atenolol use.
D. Hypokalemia (low potassium levels) is not a common adverse effect of atenolol; electrolyte imbalances are more associated with diuretics.
Correct Answer is A
Explanation
A. Contacting the provider to clarify the prescription is the most direct and appropriate action to ensure accuracy and prevent medication errors.
B. Interpreting the prescription according to the client's medical history can lead to errors and is not a safe practice.
C. Clarifying the prescription with the family is not appropriate as they may not have the necessary knowledge or authority to interpret medical orders.
D. Asking the pharmacist for clarification can help, but the pharmacist may also have difficulty reading the handwriting. The most reliable approach is to directly contact the provider.
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