A nurse is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?
Perform the reconciliation only at admission and discharge.
Compare only the prescribed home medications to the new prescriptions.
Delete new prescriptions that may interact with home medications.
Consider the risk for medication interactions.
The Correct Answer is D
A. Perform the reconciliation only at admission and discharge: Medication reconciliation should be performed at all stages of care. It should also be done during transfers between units and at any point where medication changes occur to ensure accuracy and prevent errors.
B. Compare only the prescribed home medications to the new prescriptions: Medication reconciliation requires comparing home medications and any newly prescribed medications. This includes reviewing all medications to identify discrepancies and ensure safety.
C. Delete new prescriptions that may interact with home medications: The nurse should not delete prescriptions. Instead, they should identify potential drug interactions, assess the risks, and notify the healthcare provider to discuss alternatives or adjustments as needed.
D. Consider the risk for medication interactions: The nurse should evaluate the potential for drug interactions by comparing home medications with new prescriptions. This helps to ensure the safety and effectiveness of the client's medication regimen.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increased urine output: In disseminated intravascular coagulation (DIC), there is typically decreased urine output due to renal failure or microvascular clotting, not increased output.
B. Petechiae: Petechiae are small red or purple spots on the skin caused by bleeding under the skin. This is a common finding in DIC due to widespread clotting and subsequent bleeding, resulting in tiny hemorrhages.
C. Decreased respirations: Respiratory rate may actually increase in DIC due to hypoxia, sepsis, or pulmonary embolism rather than decrease. Respiratory complications are common in DIC.
D. Bradycardia: Bradycardia (slow heart rate) is not a typical finding in DIC. Instead, tachycardia (increased heart rate) is often observed as a compensatory response to hypovolemia or shock associated with DIC.
Correct Answer is A
Explanation
A. Frothy sputum: Frothy sputum, particularly pink or blood-tinged, is a classic sign of pulmonary edema, which is common in left-sided heart failure. The left side of the heart cannot pump blood effectively, leading to fluid accumulation in the lungs and causing this symptom.
B. Bradycardia: In left-sided heart failure, tachycardia (elevated heart rate) is more commonly seen as the heart tries to compensate for decreased cardiac output, not bradycardia (slow heart rate).
C. Warm skin: In left-sided heart failure, the skin may feel cool and clammy due to poor circulation and reduced cardiac output. Warm skin is not a typical finding in this condition.
D. Jugular vein distention: Jugular vein distention is more indicative of right-sided heart failure, where there is a backup of blood in the venous system. Left-sided heart failure primarily causes symptoms related to pulmonary congestion.
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