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.

Answer and Explanation

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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Correct Answer is ["A","D","E","F"]

Explanation

Rationale for Correct Answers

How to check blood glucose at home: The client has hyperglycemia and may have undiagnosed diabetes. Teaching self-monitoring of blood glucose is essential for ongoing glycemic control, treatment adjustments, and early detection of dangerous fluctuations.
Manifestations of hyperglycemia and hypoglycaemia: The client is already showing signs of hyperglycemia (polyuria, weight loss, fatigue). Understanding the symptoms of both high and low blood sugar helps prevent complications and allows timely self-intervention.
Perform 100 min of physical activity per week: Moderate physical activity helps improve insulin sensitivity and blood glucose regulation. While 150 min/week is ideal, 100 min is a beneficial starting point for clients new to exercise or with complications like foot ulcers.
Weight loss tips: The client has a BMI of 27, which falls into the overweight category. Weight loss is often beneficial for improving blood glucose control in individuals with type 2 diabetes and reducing overall health risks.

Rationale for Incorrect Answers

Instructions on how to take metoprolol: There is no indication in the data that the client has hypertension, arrhythmia, or another condition that warrants beta-blocker therapy. Teaching this would be irrelevant unless metoprolol is newly prescribed.
Check feet weekly on the same day each week: Clients with diabetes or suspected diabetes should be taught to inspect their feet daily, not weekly. Delayed detection of wounds or infection can lead to severe complications, including amputation.

A. "Plan to void every 6 hours." B. "Squeeze your legs together when you feel the urge to void." C. "Perform Kegel exercises three times daily." D. "Drink 1 liter of fluids a day."

Correct Answer is C

Explanation

A. "Plan to void every 6 hours.": Voiding every 6 hours may not be appropriate for clients with stress incontinence. A more individualized schedule based on the client's needs and fluid intake is better. Holding urine for too long could worsen symptoms.

B. "Squeeze your legs together when you feel the urge to void.": This is not effective in managing stress incontinence. Instead, strategies like pelvic muscle exercises (Kegel exercises) can help strengthen the muscles that control urination.

C. "Perform Kegel exercises three times daily.": Kegel exercises help strengthen the pelvic floor muscles, which can reduce stress incontinence by improving bladder control. This is an effective and recommended strategy for managing the condition.

D. "Drink 1 liter of fluids a day.": Restricting fluids can concentrate urine, irritating the bladder and worsening incontinence. It’s generally better to maintain adequate hydration, typically around 2 liters of fluids daily, unless otherwise directed by the healthcare provider.

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A nurse is performing medication reconciliation for a newly admitted client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Exhibits Which of the following should the nurse plan to include when providing teaching for the client? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

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Correct Answer is C

Explanation

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