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

Answer and Explanation

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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Correct Answer is A

Explanation

A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.

A. 1.5 tablet B. 2 tablet C. 0.5 tablet D. 1 tablet

Correct Answer is A

Explanation

A. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
B. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
C. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
D. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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